Active NPI
American Lab LLC
- Clinical Medical Laboratory
- Tampa, FL
National Provider Identifier
1992346571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- AMERICAN LAB LLC
- Practice address
- 1419 W Waters Ave Ste 119
Tampa, FL 33604-2896 - Phone
- (813) 533-6599
- Fax
- (813) 533-6675
- NPI assigned
- Oct 4, 2019
- 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
- Jelina Ramos-Perez
- Title
- VP
- Phone
- (813) 533-6599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1419 W Waters Ave Ste 119
Tampa, FL 33604-2896
Mailing address
1419 W Waters Ave Ste 119
Tampa, FL 33604-2896
Phone (813) 533-6599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191230000831 | FL | Part B Supplier - Independent Clinical Laboratory | 0042644064 | Practice locations: Tampa, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2174351 | American Lab LLC | Accreditation | Feb 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
1419 W Waters Ave
Ste 119
Tampa, FL 33604
Phone (813) 325-5883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1992346571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W WATERS AVE STE 119",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042896",
"telephone_number": "813-533-6599",
"fax_number": "813-533-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 W WATERS AVE STE 119",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042896",
"telephone_number": "813-533-6599",
"fax_number": "813-533-6675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-04",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "RAMOS-PEREZ",
"authorized_official_first_name": "JELINA",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "813-533-6599"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.