Mainstream Diagnostic Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAINSTREAM DIAGNOSTIC LABORATORY LLC

Practice address

5354 Gulf Dr
New Port Richey, FL 34652-3920

Phone

(727) 203-8391

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Dainellys Villacis

Title

President

Phone

(786) 718-4002

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1689139495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 GULF DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523920",
            "telephone_number": "727-203-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 GULF DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523920",
            "telephone_number": "727-203-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM DIAGNOSTIC LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "VILLACIS",
        "authorized_official_first_name": "DAINELLYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-718-4002"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maharajh Acupuncture & Wellness Inc
• Lisa Maharajh, DOM, AP
• Eva J Mahoney, LPTA
• Thanh T Mai, D.M.D
• Rhonda Kay Maines, LCSW
• Shonna Monique Mallard
• Sally Mallery, LMHC
• Malleswari S Vangara MD PA
• Sarah Mallett, MD
• Marc Jeffrey Mallis, MD

• Clinical Medical Laboratory in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.