OrganizationActive
Angel Wings Diagnostic Labs LLC
NPI 1346902616 · Clinical Medical Laboratory · Plantation, FL
Provider details
- NPI number
- 1346902616
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Latravia Clayton, Owner/Manager(786) 521-4206
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4330 W Broward Blvd Ste O
Plantation, FL 33317-3754
Phone: (786) 521-4206
Street-level locationGet directions
Mailing address
4351 Nw 15th St
Lauderhill, FL 33313-5709
Registry dates
- Enumerated
- 2021-10-13
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.