OrganizationActive
Destiny By the Sea
NPI 1033558796 · Clinical Medical Laboratory · Boynton Beach, FL
Provider details
- NPI number
- 1033558796
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Angela Iacullo, Billing Director(561) 715-9288
Specialties & taxonomies
Laboratories
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Se 14th Ave
Boynton Beach, FL 33435-6030
Phone: (561) 350-3888
Street-level locationGet directions
Mailing address
130 Se 14th Ave
Boynton Beach, FL 33435-6030
Registry dates
- Enumerated
- 2013-06-17
- Last updated
- 2013-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.