OrganizationActive
Clean Slate Living
NPI 1265860522 · Clinical Medical Laboratory · West Palm Beach, FL
Clean Slate Living is a Clinical Medical Laboratory organization in West Palm Beach, FL (NPI 1265860522).
Provider details
- NPI number
- 1265860522
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Angela Iacullo, Billing Director(561) 270-2361
- License
- 10D2063192 (FL)
Specialties & taxonomies
Laboratories
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
12 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
118 Canoe Dr
West Palm Beach, FL 33415-2602
Phone: (561) 270-2361
Street-level locationGet directions
Mailing address
118 Canoe Dr
West Palm Beach, FL 33415-2602
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2013-10-24
Frequently asked questions
- What is Clean Slate Living's NPI number?
- Clean Slate Living's National Provider Identifier (NPI) is 1265860522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clean Slate Living?
- Clean Slate Living is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Clean Slate Living located?
- Clean Slate Living's practice location on file with NPPES is 118 Canoe Dr, West Palm Beach, FL 33415-2602.
- What is Clean Slate Living's phone number?
- The practice phone number listed in the NPPES registry for Clean Slate Living is (561) 270-2361.
- Who is the authorized official for Clean Slate Living?
- The authorized official listed on Clean Slate Living's NPPES record is Angela Iacullo, Billing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clean Slate Living's NPI active?
- Yes — Clean Slate Living's NPI (1265860522) is active in the NPPES registry as of the last update on 2013-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.