Active NPI
Puretest Diagnostics
- Clinical Medical Laboratory
- Milton, FL
National Provider Identifier
1508720590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PURETEST DIAGNOSTICS
- Practice address
- 4966 Pineview Ridge Rd
Milton, FL 32571-8030 - Phone
- (850) 426-8048
- NPI assigned
- Dec 13, 2025
- Last updated
- Dec 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaquille Johnson
- Title
- Manager
- Phone
- (850) 378-6225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
4966 Pineview Ridge Rd
Milton, FL 32571-8030
Mailing address
4966 Pineview Ridge Rd
Milton, FL 32571-8030
National Provider Directory
National Provider DirectoryLocations
4966 Pineview Ridge Rd
Milton, FL 32571
Phone (850) 426-8048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765584000000",
"number": "1508720590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4966 PINEVIEW RIDGE RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325718030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4966 PINEVIEW RIDGE RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325718030",
"telephone_number": "850-426-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURETEST DIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-13",
"last_updated": "2025-12-13",
"certification_date": "2025-12-13",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHAQUILLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "850-378-6225"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Publix Super Markets, Inc (Publix Pharmacy #1807)
- Kaylin Marie Quinn, APRN
- Melissa Angelena Rachal
- Rajadorai Calnaido MD PA
- Rhonda Denise Rakestraw, PTA, ATC/L
- Aileen Ramiro
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.