850 LABS TO GO LLC — NPI 1134092471 (Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician in PANAMA CITY BEACH, FL)

CMS-1500 Box 24J / 33a • NPI

1134092471

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

247ZC0005X

Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician

Box 32 Service Location & ZIP+4

6954 W HIGHWAY 98 APT 2-102, PANAMA CITY BEACH, FL, 32407-5433

✓ 9-Digit EDI 837 ZIP+4 (32407-5433)

Practice Phone & Referral Fax

(850) 630-2667

Fax: (754) 339-0030

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134092471 (850 LABS TO GO LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134092471` (NPI-2 Organization / Facility)
Provider / Legal Name	850 LABS TO GO LLC
Plain-English Specialty	Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician NUCC Code: `247ZC0005X` (Pathology, Clinical Laboratory Director, Non-physician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	6954 W HIGHWAY 98 APT 2-102, PANAMA CITY BEACH, FL, 32407-5433
Practice Telephone / Fax	Tel: (850) 630-2667 \| Fax: (754) 339-0030
Administrative Mailing Address	6954 W HIGHWAY 98 APT 102, PANAMA CITY BEACH, FL, 32407-5459
Enumeration & Last Sync	Enumerated: 2025-09-24 \| CMS Record Updated: 2025-09-24
Authorized Official	CASSIDY BACON (CEO, CFO, DIRECTOR, COLLECTOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6954 W HIGHWAY 98 APT 2-102, PANAMA CITY BEACH, FL, 32407-5433

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Plain-English Taxonomy & CMS Crosswalk (247ZC0005X)

What Does Taxonomy Code 247ZC0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 247ZC0005X translates to:
"Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Clinical Laboratory Director, Non-physician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (850 LABS TO GO LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`247ZC0005X` — Pathology, Clinical Laboratory Director, Non-physician Plain English: Licensed & Credentialed Pathology, Clinical Laboratory Director, Non-physician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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850 LABS TO GO LLC (NPI #1134092471)