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Smart Lab LLC

Clinical Medical Laboratory in Palm Beach Gardens, FL · enumerated 2014 · authorized official Justin Wayne, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770980062

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Registry record

Entity type Organization (Type 2)
Legal business name Smart Lab LLC
Other name <Unavail>
Practice address 10385 Ironwood Rd, Suite 130, Palm Beach Gardens, FL, 33410
Fax (561) 370-6036
Enumeration date Dec 2, 2014
Last updated in NPPES Jun 30, 2016

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Justin Wayne
Title Chief Operating Officer

Other identifiers

Identifier Type State Issuer
COS 00800603 Other CA STATE LICENSE
100049019 Medicaid WI -
0155902 Medicaid OH -
800027631 Other FL STATE LICENSE
1770980062 Medicaid UT -
34458 Other PA STATE LICENSE
P01611847 Other - RR MEDICARE
1025400 Medicaid VT -
015049900 Medicaid FL -
IH908A Other - MEDICARE PTAN

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.

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Frequently asked questions

Where is Smart Lab LLC located?
The practice location on file with NPPES is in Palm Beach Gardens, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-30. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-06-30.