Flo-Medilab Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2093547

Legal business name

FLO-MEDILAB SERVICES, LLC

Practice address

716 Hughey St Unit B
Kissimmee, FL 34741-5626

Phone

(844) 356-6334

Fax

(512) 532-0923

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jaquelyn Alice Agasan, PHD

Title

Managing Director/Owner

Phone

(407) 369-8125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1740677467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HUGHEY ST UNIT B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415626",
            "telephone_number": "844-356-6334",
            "fax_number": "512-532-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 HUGHEY ST UNIT B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415626",
            "telephone_number": "844-356-6334",
            "fax_number": "512-532-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLO-MEDILAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "AGASAN",
        "authorized_official_first_name": "JAQUELYN",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR/OWNER",
        "authorized_official_telephone_number": "407-369-8125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": "10D2093547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2093547",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Fletcher
• Reyanna Amriah Fleurant
• Charlene Fleurenna
• Marie Carmelle Fleurimond, PNP
• Nicole S Fliehman, M.A. CCC-SLP
• Sean Florendo
• Sheilyn Sujey Flores Barbot
• Jeanivette Flores Carrasquillo
• Cynthia Jane Dietscher Flores
• Dionisio C Flores, M.D.

• Clinical Medical Laboratory in Kissimmee, FL
• Providers in Kissimmee, 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 13, 2021; 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.