Elite Labs and More

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELITE LABS AND MORE

Practice address

725 SE Baya Dr
Lake City, FL 32025-6073

Phone

(800) 501-5716

Fax

(800) 501-5716

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Tecilla R HicksNPI 1043017593

Title

Owner

Phone

(800) 501-5716

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Tecilla Reshawn Hicks

  • Clinical Laboratory Director (Non-physician)
  • Lake City, FL
  • NPI 1043017593
  NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1487454591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256073",
            "telephone_number": "800-501-5716",
            "fax_number": "800-501-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256073",
            "telephone_number": "800-501-5716",
            "fax_number": "800-501-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LABS AND MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TECILLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-501-5716"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lake City, FL
• Providers in Lake City, 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 Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.