OrganizationActive
Mainstream Diagnostic Laboratory LLC
NPI 1689139495 · Clinical Medical Laboratory · New Port Richey, FL
Provider details
- NPI number
- 1689139495
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Dainellys Villacis, President(786) 718-4002
Specialties & taxonomies
Laboratories
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5354 Gulf Dr
New Port Richey, FL 34652-3920
Phone: (727) 203-8391
Street-level locationGet directions
Mailing address
5354 Gulf Dr
New Port Richey, FL 34652-3920
Registry dates
- Enumerated
- 2019-02-06
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.