MY MEDEX LAB, LLC
NPI 1225849805
Clinical Medical Laboratory in Jacksonville, FL

Active since January 14, 2025CLIA 10D2316512 · Certificate of Compliance
4501 IRVINGTON AVE, JACKSONVILLE, FL 32210(904) 881-1693 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About My Medex Lab, Llc NPPES

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

MY MEDEX LAB, LLC (NPI 1225849805) is a healthcare organization registered as a clinical medical laboratory in Jacksonville, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Certificate of Compliance certificate valid through July 1, 2027 and lists Joseph Connell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225849805
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMY MEDEX LAB, LLC
Location Address4501 IRVINGTON AVEJacksonville, FL 32210-2014
Mailing Address4501 Irvington AveJacksonville, FL 32210-2014 · (904) 881-1693
Organization SubpartNo
Authorized OfficialJoseph ConnellCeo · (888) 726-1440
Enumeration DateJanuary 14, 2025
Last NPPES UpdateMarch 8, 20252 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
NPI 1225849805 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.
4501 IRVINGTON AVE, Jacksonville, FL 32210

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 10D2316512

My Medex Lab LLC · Jacksonville, FL
Active · expires Jul 1, 2027
CLIA Number10D2316512
Laboratory TypeIndependent
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorRadoslaw Bieniek
Laboratory Phone(904) 881-1693
Laboratory LocationMy Medex Lab LLC4501 Irvington Ave, Jacksonville, FL 32210
CLIA data matches this NPI record on: Address Name Phone
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

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

Clinic/Center
4501 IRVINGTON AVE
JACKSONVILLE, FL 32210

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 My Medex Lab, LLC's NPI number?

The NPI number for My Medex Lab, LLC is 1225849805. It was assigned to this organization in the NPPES registry on January 14, 2025.

Where is My Medex Lab, LLC located?

My Medex Lab, LLC is located at 4501 Irvington Ave, Jacksonville, FL 32210. The listed phone number is (904) 881-1693.

What is My Medex Lab, LLC's specialty?

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

Does My Medex Lab, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2316512) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Medex Lab, LLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.