AT HOME LAB SERVICES LLC – NPI #1699640466
Specialist/Technologist, Pathology

AT HOME LAB SERVICES LLC is a technologist located in CAPE CORAL, FL. NPPES has assigned the NPI number 1699640466 to AT HOME LAB SERVICES LLC on October 09, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AT HOME LAB SERVICES LLC below.

NPI Profile for
AT HOME LAB SERVICES LLC

NPI Number
1699640466
Enumeration Date

(about 8 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AT HOME LAB SERVICES LLC
Primary location
1212 NE 11TH TER
CAPE CORAL, FL 33909-1439
Phone: (863) 233-4548 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MADAY BRUZON
OWNER
Phone: (863) 233-4548
Updated
Certification Date
Oct 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.