CLEAN SLATE LIVING
NPI 1265860522
Clinical Medical Laboratory in West Palm Beach, FL

Active since October 24, 2013
118 CANOE DR, WEST PALM BEACH, FL 33415(561) 270-2361 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clean Slate Living NPPES

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

CLEAN SLATE LIVING (NPI 1265860522) is a healthcare organization registered as a clinical medical laboratory in West Palm Beach, Florida and active in the NPI registry since October 2013. The organization lists Angela Iacullo, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1265860522
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCLEAN SLATE LIVING
Location Address118 CANOE DRWest Palm Beach, FL 33415-2602
Mailing Address118 Canoe DrWest Palm Beach, FL 33415-2602
Organization SubpartNo
Authorized OfficialAngela IaculloBilling Director · (561) 270-2361
Enumeration DateOctober 24, 2013
NPI 1265860522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in FL · 10D2063192
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.
118 CANOE DR, West Palm Beach, FL 33415

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 Clean Slate Living's NPI number?

The NPI number for Clean Slate Living is 1265860522. It was assigned to this organization in the NPPES registry on October 24, 2013.

Where is Clean Slate Living located?

Clean Slate Living is located at 118 Canoe Dr, West Palm Beach, FL 33415. The listed phone number is (561) 270-2361.

What is Clean Slate Living's specialty?

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

When was this NPI record last updated?

The NPPES record for Clean Slate Living was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.