Active NPI
Ipsum Diagnostics LLC
- Clinical Medical Laboratory
- Hollywood, FL
National Provider Identifier
1538028196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2337164 | Ipsum Diagnostics LLC | Registration | Jan 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
- International Patient Care, Inc
- Interventional Rehabilitation of South Florida, Inc
- Interventional Rehabilitation of South Florida, Inc
- Kailey Loren Introcaso, AU.D.
- Invictus Medical Center Inc
- Ira R. Lefkof, M.D., P.a.
- Irecovery, LLC
- Manuel Rafael Iribar, M.D
- Irina Milman DO LLC
- Dayli Isaac Correa, SA-C
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.