FIVE STAR LABORATORY SERVICE LLC
NPI 1174242259
Clinical Medical Laboratory in Jacksonville, FL

NPI Status: Active since August 23, 2022

Contact Information

4131 UNIVERSITY BLVD S STE 12
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 673-8416

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  • Organization
  • Clinical Medical Laboratory

About FIVE STAR LABORATORY SERVICE LLC

This page provides the complete NPI Profile along with additional information for Five Star Laboratory Service Llc, a provider established in Jacksonville, Florida operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1174242259 assigned on August 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated February 2025. The authorized official of this NPI record is Melonie Miller (Owner)

NPI
1174242259
Provider Name
FIVE STAR LABORATORY SERVICE LLC
Entity Type
Organization
Location Address
4131 UNIVERSITY BLVD S STE 12 JACKSONVILLE, FL 32216
Location Phone
(904) 673-8416
Mailing Address
4131 UNIVERSITY BLVD S STE 12 JACKSONVILLE, FL 32216
Mailing Phone
(904) 673-8416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2022
Last Update Date
02-24-2025
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Establishments like Five Star Laboratory Service Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELONIE MILLER

Authorized Official Title
OWNER
Authorized Official Phone
(904) 673-8416

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174242259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144444210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 4 + 4 + 2 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1174242259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083295984 MELONIE DENISE MILLER
Individual
Homemaker4131 UNIVERSITY BLVD S STE 12
JACKSONVILLE, FL 32216
(904) 673-8416
1780353615FIVE STAR PROFESSIONAL HOME CARE STAFFING LLC
Organization
Home Health4131 UNIVERSITY BLVD S STE 12
JACKSONVILLE, FL 32216
(904) 673-8416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174242259, enumerated in the NPI registry as an "organization" on August 23, 2022

The provider is located at 4131 University Blvd S Ste 12 Jacksonville, Fl 32216 and the phone number is (904) 673-8416

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

This NPI record was last updated on August 23, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.