5IVE STAR DIAGNOSTIC SOLUTIONS LLC – NPI #1588420053
Technician, Pathology

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

5IVE STAR DIAGNOSTIC SOLUTIONS LLC is a pathology technician located in MOBILE, AL. NPPES has assigned the NPI number 1588420053 to 5IVE STAR DIAGNOSTIC SOLUTIONS LLC on February 22, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 247ZC0005X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Clinical Laboratory Director, Non-physician

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 5IVE STAR DIAGNOSTIC SOLUTIONS LLC below.

NPI Profile for
5IVE STAR DIAGNOSTIC SOLUTIONS LLC

NPI Number
1588420053
Enumeration Date

(more than 2 years 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
5IVE STAR DIAGNOSTIC SOLUTIONS LLC
Primary location
1015 MONTLIMAR DR STE C5
MOBILE, AL 36609-1717
Phone: (251) 300-8331 Fax: (251) 300-8501
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRANDI JACKSON
OWNER
Phone: (251) 300-8331
Updated
Certification Date
Feb 22, 2024

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
247ZC0005X
- Technician, Pathology / Clinical Laboratory Director, Non-physician (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.