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Jag Lab LLC

Jag Lab LLC is a healthcare organization registered as Clinical Medical Laboratory in Boca Raton, FL, holding Type 2 (organization) NPI 1558639757 since 2011. The authorized official on file is Gerard Christopher, Coo.

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NPI 1558639757
Entity type Organization (Type 2)
Legal business name Jag Lab LLC
Practice address 902 CLINT MOORE RD, SUITE 225, Boca Raton, FL, 33487
Phone 5613142000
Enumeration date 2011-12-02
Last updated in NPPES 2019-01-31

Authorized official

Name Gerard Christopher
Title Coo
Phone 5613142000

Taxonomy & classification

Taxonomy code Specialty Primary License State
291U00000X Clinical Medical Laboratory Primary
Copy-ready billing details
Provider: Jag Lab LLC
NPI: 1558639757
Taxonomy: 291U00000X (Clinical Medical Laboratory)
Address: 902 CLINT MOORE RD, SUITE 225, Boca Raton, FL, 33487

Providers at this address

NPI Name Type Specialty Location
1548221963 Mei Mei Chan Individual Physician Assistant Boca Raton, FL
1528179108 Joyce Dornan Individual Dermatology Physician Boca Raton, FL
1932285947 Reliable Medical Supplies,Inc. Organization Durable Medical Equipment & Medical Supplies Boca Raton, FL
1720103013 Us Path Labs LLC Organization Clinical Medical Laboratory Boca Raton, FL
1558796680 Casey Courcy Individual Nurse Practitioner Boca Raton, FL
1124437041 On Site Dermatology of Maine LLC Organization Dermatology Physician Boca Raton, FL
1710373352 On Site Dermatology of South Carolina LLC Organization Dermatology Physician Boca Raton, FL
1306227269 Reliable Documents Solutions, LLC Organization Other Specialist/Technologist Boca Raton, FL

Verify this record

Cross-check NPI 1558639757 against the authoritative CMS record: view Jag Lab LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Jag Lab LLC?
Jag Lab LLC is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-31.