At Home Lab Services LLC

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Legal business name

AT HOME LAB SERVICES LLC

Practice address

1212 NE 11TH Ter
Cape Coral, FL 33909-1439

Phone

(863) 233-4548

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Maday Bruzon, CPT

Title

Owner

Phone

(863) 233-4548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1699640466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NE 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NE 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091439",
            "telephone_number": "863-233-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BRUZON",
        "authorized_official_first_name": "MADAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-233-4548",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pathology Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.