Organization Active NPI

Gentle Touch Laboratory LLC

  • Clinical Medical Laboratory
  • Live Oak, FL
National Provider Identifier
1376200832
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENTLE TOUCH LABORATORY LLC
Practice address
118 Conner St NE
Live Oak, FL 32064-2470
Phone
(386) 205-2207
Fax
(866) 462-5823
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Latia LumpkinNPI 1033447206
Title
Lab Director
Phone
(386) 292-6563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

118 Conner St NE
Live Oak, FL 32064-2470

Mailing address

PO Box 1782
Jasper, FL 32052-1782
Phone (386) 205-2207

Other identifiers 1

IdentifierTypeStateIssuer
10D2243126OtherFLCLIA

National Provider Directory

National Provider Directory

Locations

1001 3rd St NW
Jasper, FL 32052
Phone (386) 292-6563

118 Conner St NE
Live Oak, FL 32064
Phone (386) 205-2207

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1376200832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1782",
            "city": "JASPER",
            "state": "FL",
            "postal_code": "320521782",
            "telephone_number": "386-205-2207",
            "fax_number": "866-462-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CONNER ST NE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642470",
            "telephone_number": "386-205-2207",
            "fax_number": "866-462-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE TOUCH LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "LATIA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "386-292-6563"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2243126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.