Organization Active NPI

Ipsum Diagnostics LLC

  • Clinical Medical Laboratory
  • Hollywood, FL
National Provider Identifier
1538028196
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IPSUM DIAGNOSTICS LLC
Practice address
6100 Hollywood Blvd, #307
Hollywood, FL 33024
Phone
(678) 915-2299
NPI assigned
Jan 20, 2026
Organization subpart
Yes
Parent organization
IPSUM DIAGNOSTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Francis Justo
Title
VP of Operations
Phone
(678) 915-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6100 Hollywood Blvd, #307
Hollywood, FL 33024

Mailing address

6100 Hollywood Blvd, #307
Hollywood, FL 33024
Phone (678) 915-2299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306002167 FL Part B Supplier - Independent Clinical Laboratory 3971878455 Practice locations: Hollywood, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2337164Ipsum Diagnostics LLC6100 Hollywood Blvd #307, Hollywood, FL 33024RegistrationJan 19, 2028

National Provider Directory

National Provider Directory
Part of
Ipsum Diagnostics LLC

Locations

6100 Hollywood Blvd
Ste 307
Pembroke Pines, FL 33024
Phone (678) 915-2299

8607 Roberts Dr
Ste 250
Sandy Springs, GA 30350
Phone (678) 915-2299

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1538028196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD, #307",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "678-915-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HOLLYWOOD BLVD, #307",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "678-915-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPSUM DIAGNOSTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IPSUM DIAGNOSTICS LLC",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JUSTO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "678-915-2299"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.