NPI 1033900451

Pbj Medical LLC

Organisation Clinical Medical Laboratory Altamonte Springs, FL

Practice location

Address: 628 Maitland Ave, Altamonte Springs, FL 32701-6834
Phone: (800) 485-7962
Mailing address: 7512 Dr Phillips Blvd STE 50, Orlando, FL 32819-5420

Authorised official

Name: Kevin Pruitt
Title: Lab Director
Phone: (800) 485-7962

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1033900451
Entity type: Organization
NPI issued: 15 May 2025
Record last updated: 15 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.