Organization Active NPI

Atlantic Labs DX

Doing business as Atlantic Diagnostic Solutions

  • Clinical Medical Laboratory
  • West Palm Beach, FL
National Provider Identifier
1275410623
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ATLANTIC LABS DX
Doing business as
Atlantic Diagnostic Solutions
Practice address
4601 N Congress Ave Ste 104
West Palm Beach, FL 33407-3381
Phone
(561) 678-0027
Fax
(305) 595-3118
NPI assigned
Aug 18, 2025
Organization subpart
Yes
Parent organization
ATLANTIC LABS DXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer R Kennedy
Title
Authorized Official
Phone
(561) 678-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4601 N Congress Ave Ste 104
West Palm Beach, FL 33407-3381

Mailing address

4601 N Congress Ave Ste 104
West Palm Beach, FL 33407-3381
Phone (561) 678-0027

Other names 1

  • Atlantic Diagnostic Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014002257 FL Part B Supplier - Independent Clinical Laboratory 4284121294 Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory
Part of
Atlantic Labs DX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1275410623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-678-0027",
            "fax_number": "305-595-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-678-0027",
            "fax_number": "305-595-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC LABS DX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC LABS DX",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-678-0027"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Diagnostic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.