Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Five Star Laboratory Service LLC

Organization Clinical Medical Laboratory · NPI 1174242259

Five Star Laboratory Service LLC is a Clinical Medical Laboratory in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4131 University Blvd S Ste 12
Jacksonville, FL 32216-4352
Phone: (904) 673-8416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1174242259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melonie Miller — Owner · (904) 673-8416
NPI enumeratedAugust 23, 2022
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352

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