BRIGHTSTAR LAB PRO LLC
NPI 1184404824
Technician in Winter Park, FL

Active since October 02, 2023CLIA 10D2313362 · Waiver
3001 ALOMA AVE STE 126, WINTER PARK, FL 32792(407) 672-1609 Get Directions Write a Review

NPPES record last updated: October 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brightstar Lab Pro Llc NPPES

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

BRIGHTSTAR LAB PRO LLC (NPI 1184404824) is a healthcare organization registered as a technician in Winter Park, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Reshema Jelks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184404824
Entity TypeOrganization
Primary Taxonomy374700000X
Legal Business NameBRIGHTSTAR LAB PRO LLC
Location Address3001 ALOMA AVE STE 126Winter Park, FL 32792-3752
Mailing Address3001 Aloma Ave Ste 126Winter Park, FL 32792-3752
Organization SubpartNo
Authorized OfficialReshema JelksCeo · (407) 672-1609
Enumeration DateOctober 2, 2023
Last NPPES UpdateOctober 7, 2023
NPPES CertifiedOctober 7, 2023
NPI 1184404824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnicianNursing Service Related Providers
Taxonomy Code374700000X
Definition
(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
3001 ALOMA AVE STE 126, Winter Park, FL 32792

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 Waiver 10D2313362

Brightstar Lab Pro LLC · Winter Park, FL
Active · expires Oct 29, 2026
CLIA Number10D2313362
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorReshema Jelks
Laboratory Phone(813) 770-5091
Laboratory LocationBrightstar Lab Pro LLC3001 Aloma Ave Ste 126, Winter Park, FL 32792
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Brightstar Lab Pro LLC's NPI number?

The NPI number for Brightstar Lab Pro LLC is 1184404824. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Brightstar Lab Pro LLC located?

Brightstar Lab Pro LLC is located at 3001 Aloma Ave Ste 126, Winter Park, FL 32792. The listed phone number is (407) 672-1609.

What is Brightstar Lab Pro LLC's specialty?

The primary specialty registered for this NPI is Technician with taxonomy code 374700000X.

Does Brightstar Lab Pro LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2313362) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brightstar Lab Pro LLC was last updated on October 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.