Beachside Laboratories LLC

Clinical Medical Laboratory · Cocoa, FL

Organization Active NPI

NPI number 1932919651

Practice location

1308 Clearlake Rd Ste 3
Cocoa, FL 32922-6479
Phone
(904) 586-6973

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NPI record

NPI
1932919651
Entity type
Organization (Type 2)
Enumeration date
January 14, 2025
Last updated
January 14, 2025
Certified
January 14, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Medical Laboratory Primary 291U00000X — —

Authorized official

Name
Dawson Smith
Title
Owner
Phone
(904) 586-6973

About Beachside Laboratories LLC

Beachside Laboratories LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Medical Laboratory (code 291U00000X). The practice location is 1308 Clearlake Rd Ste 3, Cocoa, FL 32922-6479. The NPI number 1932919651 was assigned on January 14, 2025 and the record was last updated on January 14, 2025.

The authorized official for this organization is Dawson Smith, Owner.

Frequently asked questions

What is the NPI number of Beachside Laboratories LLC?

The NPI number is 1932919651.

What is the phone number of Beachside Laboratories LLC?

The phone number listed for the practice location is (904) 586-6973.

Where is Beachside Laboratories LLC located?

1308 Clearlake Rd Ste 3, Cocoa, FL 32922-6479.

What is the taxonomy code for Beachside Laboratories LLC?

The primary taxonomy code is 291U00000X – Clinical Medical Laboratory.

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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