Active NPI
Medical Dna Labs, LLC
- Clinical Medical Laboratory
- Tampa, FL
National Provider Identifier
1821409756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MEDICAL DNA LABS, LLC
- Practice address
- 501 N Reo St
Tampa, FL 33609-1012 - Phone
- (813) 769-8810
- NPI assigned
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracie Gari
- Title
- Chief Administrative Officer
- Phone
- (813) 549-2134
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
501 N Reo St
Tampa, FL 33609-1012
Mailing address
PO Box 205213
Dallas, TX 75320-5213
Phone (813) 769-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104904500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3450 E Fletcher Ave
Ste 230A
Tampa, FL 33613
Phone (813) 769-8810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1659315190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758326400000",
"number": "1821409756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205213",
"city": "DALLAS",
"state": "TX",
"postal_code": "753205213",
"telephone_number": "813-769-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N REO ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091012",
"telephone_number": "813-769-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DNA LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A",
"authorized_official_last_name": "GARI",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "813-549-2134"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104904500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Medical a Center Inc
- Medical Artistry PLLC
- Medical Arts Comprehensive Diagnostic Services Inc
- Medical Care Centers, LLC
- Medical Consultants of Tampa Bay PLLC
- Medical Evaluation Centers, Inc.
- Medical Eye Associates of Tampa,P.a.
- Medical Home Alliance LLC (IMA Medical Group Cypress)
- Medical Home Alliance LLC (IMA West Tampa Dispensary)
- Medical Home Alliance LLC (IMA Medical Group - West Tampa)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.