PBJ MEDICAL LLC
NPI 1033900451
Clinical Medical Laboratory in Altamonte Springs, FL

Active since May 15, 2025CLIA 10D2257076 · Waiver
628 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701(800) 485-7962 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pbj Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PBJ MEDICAL LLC (NPI 1033900451) is a healthcare organization registered as a clinical medical laboratory in Altamonte Springs, Florida and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Kevin Pruitt, Lab Director, as its authorized official.

NPPES Registry Identity

NPI1033900451
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePBJ MEDICAL LLC
Location Address628 MAITLAND AVEAltamonte Springs, FL 32701-6834
Mailing Address7512 Dr Phillips Blvd Ste 50Orlando, FL 32819-5420 · (800) 485-7962
Organization SubpartNo
Authorized OfficialKevin PruittLab Director · (800) 485-7962
Enumeration DateMay 15, 2025
NPPES CertifiedMay 14, 2025
NPI 1033900451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
628 MAITLAND AVE, Altamonte Springs, FL 32701

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2257076

Pbj Medical Associates · Altamonte Springs, FL
Active · expires Mar 30, 2028
CLIA Number10D2257076
Laboratory TypeCommunity Tester / Mult
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorKevin Pruitt
Laboratory Phone(321) 522-7708
Laboratory LocationPbj Medical Associates628 Maitland Blvd, Altamonte Springs, FL 32701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
628 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701
Orthopaedic Surgery
628 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pbj Medical LLC's NPI number?

The NPI number for Pbj Medical LLC is 1033900451. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Pbj Medical LLC located?

Pbj Medical LLC is located at 628 Maitland Ave, Altamonte Springs, FL 32701. The listed phone number is (800) 485-7962.

What is Pbj Medical LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Pbj Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257076) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pbj Medical LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.