Healthcare Provider Details

I. General information

NPI: 1396682639
Provider Name (Legal Business Name): STAR MED LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19333 S DIXIE HWY
CUTLER BAY FL
33157-7603
US

IV. Provider business mailing address

19333 S DIXIE HWY
CUTLER BAY FL
33157-7603
US

V. Phone/Fax

Practice location:
  • Phone: 561-512-6062
  • Fax: 855-422-6570
Mailing address:
  • Phone: 561-512-6062
  • Fax: 855-422-6570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: LUIS BARTELEMY
Title or Position: OWNER
Credential:
Phone: 561-512-6062