PROGRESSIVE MEDICAL LAB, LLC
NPI 1225432867
Clinical Medical Laboratory in Port Orange, FL

Active since October 10, 2014CLIA 10D2077051 · Certificate of Compliance
1690 DUNLAWTON AVE, SUITE 120, PORT ORANGE, FL 32127(386) 271-2273(386) 845-0221 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Progressive Medical Lab, Llc NPPES

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

PROGRESSIVE MEDICAL LAB, LLC (NPI 1225432867) is a healthcare organization registered as a clinical medical laboratory in Port Orange, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2026 and lists Mayada Al Hussaini, Mgr, as its authorized official.

NPPES Registry Identity

NPI1225432867
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROGRESSIVE MEDICAL LAB, LLC
Location Address1690 DUNLAWTON AVE, SUITE 120Port Orange, FL 32127-8979
Mailing Address345 Beville Rd, Suite 101South Daytona, FL 32119-2165
Fax(386) 845-0221
Organization SubpartNo
Authorized OfficialMayada Al HussainiMgr · (386) 795-4324
Enumeration DateOctober 10, 2014
NPI 1225432867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in FL · 800027387
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.
1690 DUNLAWTON AVE, Port Orange, FL 32127

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 Compliance 10D2077051

Progressive Medical Lab LLC · S Daytona, FL
Active · expires Aug 20, 2026
CLIA Number10D2077051
Laboratory TypeIndependent
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorJames K. Allen
Laboratory Phone(386) 788-8000
Laboratory LocationProgressive Medical Lab LLC345 Beville Rd Ste 101A, S Daytona, FL 32119
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 14

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

Clinic/Center
1690 DUNLAWTON AVE
PORT ORANGE, FL 32127
Nurse Practitioner (Family)
1690 DUNLAWTON AVE
PORT ORANGE, FL 32127
Nurse Anesthetist, Certified Registered
1690 DUNLAWTON AVE, SUITE 225
PORT ORANGE, FL 32127
Nurse Anesthetist, Certified Registered
1690 DUNLAWTON AVE, SUITE 210
PORT ORANGE, FL 32127
Specialist
1690 DUNLAWTON AVE, SUITE 220
PORT ORANGE, FL 32127
Family Medicine
1690 DUNLAWTON AVE, SUITE 220
PORT ORANGE, FL 32127
Counselor (Mental Health)
1690 DUNLAWTON AVE, SUITE 125
PORT ORANGE, FL 32127
Social Worker (Clinical)
1690 DUNLAWTON AVE, SUITE 125
PORT ORANGE, FL 32127

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 Progressive Medical Lab, LLC's NPI number?

The NPI number for Progressive Medical Lab, LLC is 1225432867. It was assigned to this organization in the NPPES registry on October 10, 2014.

Where is Progressive Medical Lab, LLC located?

Progressive Medical Lab, LLC is located at 1690 Dunlawton Ave Suite 120, Port Orange, FL 32127. The listed phone number is (386) 271-2273.

What is Progressive Medical Lab, LLC's specialty?

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

Does Progressive Medical Lab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2077051) is associated with this NPI, valid through August 20, 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 Progressive Medical Lab, LLC was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.