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5IVE STAR DIAGNOSTIC SOLUTIONS LLC
NPI 1588420053
Pathology - Clinical Laboratory Director, Non-physician in Mobile, AL

Active since February 22, 2024CLIA 01D2268252 · Waiver
1015 MONTLIMAR DR STE C5, MOBILE, AL 36609(251) 300-8331(251) 300-8501 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 5ive Star Diagnostic Solutions Llc NPPES

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

5IVE STAR DIAGNOSTIC SOLUTIONS LLC (NPI 1588420053) is a healthcare organization registered as a clinical laboratory director, non-physician in Mobile, Alabama and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Brandi Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1588420053
Entity TypeOrganization
Primary Taxonomy247ZC0005X
Legal Business Name5IVE STAR DIAGNOSTIC SOLUTIONS LLC
Location Address1015 MONTLIMAR DR STE C5Mobile, AL 36609-1717
Mailing Address1015 Montlimar Dr Ste C5Mobile, AL 36609-1717 · (251) 300-8331 · Fax (251) 300-8501
Phone(251) 300-8331
Fax(251) 300-8501
Organization SubpartNo
Authorized OfficialBrandi JacksonOwner · (251) 300-8331
Enumeration DateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1588420053 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.
1015 MONTLIMAR DR STE C5, Mobile, AL 36609
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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 01D2268252

5ive Star Diagnostic Solutions LLC · Mobile, AL
Active · expires Sep 7, 2026
CLIA Number01D2268252
Laboratory TypeIndependent
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorPrince Uzoije
Laboratory Phone(251) 308-1852
Laboratory Location5ive Star Diagnostic Solutions LLC1015 Montlimar Dr Unit C5, Mobile, AL 36609
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRANDI N JACKSON
Pathology (Clinical Laboratory Director, Non-physician)
1015 MONTLIMAR DR STE C5
MOBILE, AL 36609
Mobile County (251) 308-1852

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 5ive Star Diagnostic Solutions LLC's NPI number?

The NPI number for 5ive Star Diagnostic Solutions LLC is 1588420053. It was assigned to this organization in the NPPES registry on February 22, 2024.

Where is 5ive Star Diagnostic Solutions LLC located?

5ive Star Diagnostic Solutions LLC is located at 1015 Montlimar Dr Ste C5, Mobile, AL 36609. The listed phone number is (251) 300-8331.

What is 5ive Star Diagnostic Solutions LLC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Does 5ive Star Diagnostic Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2268252) is associated with this NPI, valid through September 7, 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 5ive Star Diagnostic Solutions LLC was last updated on February 22, 2024. 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.