Organization Active NPI

Beyond Bio Lab LLC

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
National Provider Identifier
1619826641
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BEYOND BIO LAB LLC
Practice address
450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837
Phone
(813) 928-7939
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Sue D Kincer
Title
Manager
Phone
(813) 928-7939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837

Mailing address

450 Fairway Dr Ste 103
Deerfield Beach, FL 33441-1837
Phone (813) 928-7939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313001761 FL Part B Supplier - Independent Clinical Laboratory 1456834845 Practice locations: Deerfield Beach, FL

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
10D2336983Beyond Bio Lab LLC450 Fairway Dr Suite 103, Deerfield Beach, FL 33441RegistrationJan 13, 2028

National Provider Directory

National Provider Directory

Locations

450 Fairway Dr
Ste 103
Deerfield Beach, FL 33441
Phone (954) 379-8316

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1619826641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "813-928-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FAIRWAY DR STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411837",
            "telephone_number": "813-928-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BIO LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "KINCER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-928-7939"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.