Crane Creek Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CRANE CREEK LAB LLC

Practice address

1600 Sarno Rd Ste 10
Melbourne, FL 32935-4992

Phone

(904) 586-6973

Fax

(321) 334-6515

NPI assigned

Jan 29, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawson Smith

Title

Owner

Phone

(904) 586-6973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1285447623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 10",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354992",
            "telephone_number": "904-586-6973",
            "fax_number": "321-334-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO RD STE 10",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354992",
            "telephone_number": "904-586-6973",
            "fax_number": "321-334-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE CREEK LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-586-6973"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Cox, PSYD
• Taylor Cox, OTR/L
• Jane Ann Coyne, LMT
• Coretta Lynn Craft
• Miranda Craft
• Crane Creek Surgical Partners Management LLC
• Crane Creek Surgical Partners, LLC
• Tanner Wyatt Crank
• Kailey Taylor Cravo
• Jamie Lynn Crawford, APRN

• Clinical Medical Laboratory in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.