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Contact Information

BEACH ROAD LABS LLC
7210 ATLANTIC BLVD
JACKSONVILLE, FL32211-8709
 Phone: 904-586-6973
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for BEACH ROAD LABS LLC

NPI # 1568341873
LBN Legal business name BEACH ROAD LABS LLC
Authorized official DAWSON SMITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2025
Last updated 08/29/2025 - About 9 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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