Brightstar Lab Pro LLC

Technician · Winter Park, FL

Organization Active NPI

NPI number 1184404824

Practice location

3001 Aloma Ave Ste 126
Winter Park, FL 32792-3752
Phone
(407) 672-1609

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NPI record

NPI
1184404824
Entity type
Organization (Type 2)
Enumeration date
October 2, 2023
Last updated
October 7, 2023
Certified
October 7, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Technician Primary 374700000X — —

Authorized official

Name
Reshema Jelks
Title
CEO
Phone
(407) 672-1609

About Brightstar Lab Pro LLC

Brightstar Lab Pro LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Technician (code 374700000X). The practice location is 3001 Aloma Ave Ste 126, Winter Park, FL 32792-3752. The NPI number 1184404824 was assigned on October 2, 2023 and the record was last updated on October 7, 2023.

The authorized official for this organization is Reshema Jelks, CEO.

Frequently asked questions

What is the NPI number of Brightstar Lab Pro LLC?

The NPI number is 1184404824.

What is the phone number of Brightstar Lab Pro LLC?

The phone number listed for the practice location is (407) 672-1609.

Where is Brightstar Lab Pro LLC located?

3001 Aloma Ave Ste 126, Winter Park, FL 32792-3752.

What is the taxonomy code for Brightstar Lab Pro LLC?

The primary taxonomy code is 374700000X – Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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