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Organization

Cotg 2021

NPI Record: ActiveClinical Medical Laboratory
NPI1396326807
Melbourne, Florida

Provider's NPPES record last updated: January 9, 2024

Overview

Entity Type
Organization
NPI
1396326807
Primary Specialty
Clinical Medical Laboratory
Practice Location
Melbourne, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 4:13 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinical Medical Laboratory

    Laboratories

    Primary

    (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.

    Taxonomy code 291U00000X
  • Public Health or Welfare

    Agencies

    Definition to come...

    Taxonomy code 251K00000X
  • Community/Behavioral Health

    Agencies

    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

    Taxonomy code 251S00000X
  • Clinic/Center

    Community Health

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QC1500X
  • Clinic/Center

    Occupational Medicine

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QX0100X

Practice Locations

Practice Location

1385 Cypress Ave Unit 104

Melbourne, Florida 32935-5919

Phone: (321) 327-7481

Additional Practice Location

1220 Prospect Ave Ste 294

Melbourne, Florida 32901-7300

Phone: (772) 300-6531

Other Names

  • Covid on the GoReported June 29, 2021

Record Information

Enumeration Date
April 16, 2021
Provider's NPPES Record Last Updated
January 9, 2024
Certification Date
January 9, 2024
NPISignal NPPES Dataset
August 2026

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