PEACOCK MEDICAL LLC
NPI 1679873236
Clinical Medical Laboratory in Port St Lucie, FL

Active since October 29, 2010
1091 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34983(772) 340-3313 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peacock Medical Llc NPPES

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

PEACOCK MEDICAL LLC (NPI 1679873236) is a healthcare organization registered as a clinical medical laboratory in Port St Lucie, Florida and active in the NPI registry since October 2010. The organization lists Karen Barlow, President, Jupiter Professional Dev, as its authorized official.

NPPES Registry Identity

NPI1679873236
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePEACOCK MEDICAL LLC
Location Address1091 SW BAYSHORE BLVDPort St Lucie, FL 34983-2463
Mailing Address5220 Hood Rd, Suite 101Palm Beach Gardens, FL 33418-8910 · (561) 748-2889 · Fax (561) 748-1523
Organization SubpartNo
Authorized OfficialKaren BarlowPresident, Jupiter Professional Dev · (561) 748-2889
Enumeration DateOctober 29, 2010
Last NPPES UpdateJune 25, 2013
NPI 1679873236 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.
1091 SW BAYSHORE BLVD, Port St Lucie, FL 34983

Other Identifiers 1

Medicare UPIND58389FL

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1091 SW BAYSHORE BLVD
PORT SAINT LUCIE, FL 34983

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 Peacock Medical LLC's NPI number?

The NPI number for Peacock Medical LLC is 1679873236. It was assigned to this organization in the NPPES registry on October 29, 2010.

Where is Peacock Medical LLC located?

Peacock Medical LLC is located at 1091 SW Bayshore Blvd, Port St Lucie, FL 34983. The listed phone number is (772) 340-3313.

What is Peacock Medical LLC'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 Peacock Medical LLC was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.