OrganizationActive
Ibis Laboratory LLC
NPI 1154786051 · Clinical Medical Laboratory · Port St Lucie, FL
Provider details
- NPI number
- 1154786051
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Achinapura, Coo(561) 588-8323
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
11350 Sw Village Pkwy
Port St Lucie, FL 34987-2352
Phone: (561) 588-8323
Fax: (561) 275-7998
Street-level locationGet directions
Mailing address
806 Lantana Rd
Lantana, FL 33462-1509
Registry dates
- Enumerated
- 2015-12-18
- Last updated
- 2015-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.