Organization Active NPI

Prime Biomedix LLC

  • Clinical Medical Laboratory
  • Wilmington, DE
National Provider Identifier
1568319408
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRIME BIOMEDIX LLC
Practice address
4737 Concord Pike Ste 415
Wilmington, DE 19803-1448
Phone
(201) 685-9531
Fax
(201) 685-9531
NPI assigned
Mar 11, 2026
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Fatu Smith
Title
Owner
Phone
(201) 685-9531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

4737 Concord Pike Ste 415
Wilmington, DE 19803-1448

Mailing address

4737 Concord Pike Ste 415
Wilmington, DE 19803-1448
Phone (201) 685-9531

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
08D2341434Prime Biomedix LLC4737 Concord Pike, Wilmington, DE 19803Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

4737 Concord Pike
Ste 415
Wilmington, DE 19803

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1568319408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 CONCORD PIKE STE 415",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031448",
            "telephone_number": "201-685-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 CONCORD PIKE STE 415",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031448",
            "telephone_number": "201-685-9531",
            "fax_number": "201-685-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME BIOMEDIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-685-9531"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.