MEDILAB INC
NPI 1184403685
Pathology - Clinical Laboratory Director, Non-physician in Port Saint Lucie, FL

Active since September 25, 2023CLIA 10D2284492 · Accreditation
1860 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952(305) 588-0106 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Medilab Inc NPPES

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

MEDILAB INC (NPI 1184403685) is a healthcare organization registered as a clinical laboratory director, non-physician in Port Saint Lucie, Florida and active in the NPI registry since September 2023. The organization holds an CLIA Accreditation certificate valid through March 4, 2028 and lists Amelia Mesa, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184403685
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business NameMEDILAB INC
Location Address1860 SE PORT ST LUCIE BLVDPort Saint Lucie, FL 34952-5545
Mailing Address1860 Se Port St Lucie BlvdPort Saint Lucie, FL 34952-5545 · (305) 588-0106
Organization SubpartNo
Authorized OfficialAmelia MesaAuthorized Official · (305) 588-0106
Enumeration DateSeptember 25, 2023
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
NPI 1184403685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

1860 SE PORT ST LUCIE BLVD, Port Saint Lucie, FL 34952

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 10D2284492

Medilab Inc · Port Saint Lucie, FL
Active · expires Mar 4, 2028
CLIA Number10D2284492
Laboratory TypeIndependent
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorDr. Alicia Hirzel
Laboratory Phone(305) 968-1611
Laboratory LocationMedilab Inc1860 SE Port Saint Lucie Blvd, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Family Medicine
1860 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Clinical Medical Laboratory
1860 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184403685, enumerated as an "organization" on September 25, 2023.

The provider is located at 1860 SE PORT ST LUCIE BLVD PORT SAINT LUCIE, FL 34952 and the phone number is (305) 588-0106.

Pathology with taxonomy code 247ZC0005X and a focus in Clinical Laboratory Director, Non-physician.