OrganizationActive
Life Span Inc
NPI 1720458110 · Clinical Medical Laboratory · Port St Lucie, FL
Life Span Inc is a Clinical Medical Laboratory organization in Port St Lucie, FL (NPI 1720458110).
Provider details
- NPI number
- 1720458110
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Mercedes Boatwright, Administrative(352) 257-0575
Specialties & taxonomies
Laboratories
Profile Score
Established profile(73/100 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
265 Sw Lake Forest Way
Port St Lucie, FL 34986-1771
Phone: (813) 477-0631
Street-level locationGet directions
Mailing address
265 Sw Lake Forest Way
Port St Lucie, FL 34986-1771
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Frequently asked questions
- What is Life Span Inc's NPI number?
- Life Span Inc's National Provider Identifier (NPI) is 1720458110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Span Inc?
- Life Span Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Life Span Inc located?
- Life Span Inc's practice location on file with NPPES is 265 Sw Lake Forest Way, Port St Lucie, FL 34986-1771.
- What is Life Span Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Span Inc is (813) 477-0631.
- Who is the authorized official for Life Span Inc?
- The authorized official listed on Life Span Inc's NPPES record is Mercedes Boatwright, Administrative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Span Inc's NPI active?
- Yes — Life Span Inc's NPI (1720458110) is active in the NPPES registry as of the last update on 2015-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.