FLORIDA LAB SOURCE
NPI 1912371089
Clinical Medical Laboratory in Port St Lucie, FL

Active since November 30, 2015
11350 SW VILLAGE PKWY, PORT ST LUCIE, FL 34987(561) 309-0134 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Lab Source NPPES

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

FLORIDA LAB SOURCE (NPI 1912371089) is a healthcare organization registered as a clinical medical laboratory in Port St Lucie, Florida and active in the NPI registry since November 2015. The organization lists Mike Anthony Cirillo, President, as its authorized official.

NPPES Registry Identity

NPI1912371089
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameFLORIDA LAB SOURCE
Location Address11350 SW VILLAGE PKWYPort St Lucie, FL 34987-2352
Mailing Address13805 Folkstone CirWellington, FL 33414-7704 · (561) 309-0134
Organization SubpartNo
Authorized OfficialMike Anthony CirilloPresident · (561) 309-0134
Enumeration DateNovember 30, 2015
NPI 1912371089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in FL · 800027325
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.
11350 SW VILLAGE PKWY, Port St Lucie, FL 34987

Other Providers at the Same Location NPPES 4

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

Clinical Medical Laboratory
11350 SW VILLAGE PKWY, SUITE 311
PORT ST LUCIE, FL 34987
Clinical Medical Laboratory
11350 SW VILLAGE PKWY
PORT ST LUCIE, FL 34987
Clinical Medical Laboratory
11350 SW VILLAGE PKWY
PORT ST LUCIE, FL 34987
Clinical Medical Laboratory
11350 SW VILLAGE PKWY, SUITE 313
PORT ST LUCIE, FL 34987

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 Florida Lab Source's NPI number?

The NPI number for Florida Lab Source is 1912371089. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Florida Lab Source located?

Florida Lab Source is located at 11350 SW Village Pkwy, Port St Lucie, FL 34987. The listed phone number is (561) 309-0134.

What is Florida Lab Source'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 Florida Lab Source was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.