MEDICARE: PC LABX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1588547426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PC LABX, LLC

Provider Business Mailing Address
First Line	:	4095 SOUTHERN BLVD STE 207
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1404
Country	:	US
Telephone Number	:	561-402-6838
Fax Number	:

Provider Business Practice Location Address
First Line	:	4095 SOUTHERN BLVD STE 207
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1404
Country	:	US
Telephone Number	:	561-402-6838
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	GARY NUGENT
Credential	:
Telephone Number	:	561-402-6838

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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Directions to “PC LABX, LLC ” Practice Location

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