PBCHD Laboratory – Clinical Medical Laboratory, NPI 1083678205

PBCHD Laboratory is a healthcare provider. based in West palm beach, Florida. specializing in Clinical Medical Laboratory. The organization holds a License No. 800001191 (FL). The NPI Number for PBCHD Laboratory is 1083678205

Main info

Organization
Name
PBCHD Laboratory
NPI
1083678205
Phone
(561) 514-5360
Address
PO BOX 29
Authorized Official
MR. JESUS EDGARDO DIAZ BIOLOGICAL ADMINISTRATOR III
Enumeration Date
14 April 2006
Last Update Date
1 October 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for PBCHD Laboratory

  • West Palm Beach, Palm Beach County, Florida, United States

    WEST PALM BEACH, FL 334020029

    Phone: (561) 514-5360

    Fax: (561) 514-5550

    Type: Mailing

  • 1150, 45th Street, Mangonia Park, Palm Beach County, Florida, 33407, United States

    ROOM L-200

    WEST PALM BEACH, FL 334072361

    Phone: (561) 514-5360

    Fax: (561) 514-5550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20151203003173OIndependent Clinical LaboratoryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample872188$0
80053Blood test, comprehensive group of blood chemicals661188$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count626179$0
87536Detection test by nucleic acid for hiv-1 virus, quantification395130$0
86359T cells count, total394130$0
View full utilization report →

Insurance plans in this area (ZIP 33402)

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Reviews

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Frequently asked questions

Is there an official ID for PBCHD Laboratory in U.S. healthcare records?
The official identifier for PBCHD Laboratory is NPI 1083678205.
Active or inactive — what applies to PBCHD Laboratory?
You should see PBCHD Laboratory as active in CMS-hosted NPPES data.
How would a patient describe PBCHD Laboratory's focus?
For PBCHD Laboratory, the primary taxonomy reads as Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PBCHD Laboratory?
Travel planning: use West Palm Beach, Florida as the reference point for PBCHD Laboratory, then confirm.
Does PBCHD Laboratory accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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