Organization Active NPI

PB Precision Labs LLC

  • Clinical Medical Laboratory
  • Jupiter, FL
National Provider Identifier
1790169027
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
80027597 Issued in FL
Legal business name
PB PRECISION LABS LLC
Practice address
555 Heritage Dr Ste 145
Jupiter, FL 33458-5287
Phone
(561) 503-9906
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Melissa Johnson
Title
Owner
Phone
(561) 503-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 80027597 FL Primary

Addresses

Primary practice location

555 Heritage Dr Ste 145
Jupiter, FL 33458-5287

Mailing address

1860 Old Okeechobee Rd Ste 106
West Palm Beach, FL 33409-5220

National Provider Directory

National Provider Directory
Tax ID family
PB Precision Labs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1790169027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 OLD OKEECHOBEE RD STE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HERITAGE DR STE 145",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585287",
            "telephone_number": "561-503-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB PRECISION LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-503-9906"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "80027597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.