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Contact Information

SHORE LABS LLC
4253 UNIVERSITY BLVD S STE 302
JACKSONVILLE, FL32216
 Phone: 904-586-6973
 Fax: 904-758-5420
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for SHORE LABS LLC

NPI # 1457246886
LBN Legal business name SHORE LABS LLC
Authorized official KEVIN WILLIAMS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2025
Last updated 02/25/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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