Roberta M Killeen Md Pa in Holiday - Clinical Medical Laboratory
Roberta M Killeen Md Pa - NPI 1609039361
Roberta M Killeen Md Pa is a Clinical Medical Laboratory in Holiday, Florida. Roberta M Killeen Md Pa practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Roberta M Killeen Md Pa is 1609039361. The last update date is 2008-07-02.
Roberta M Killeen Md Pa's current location address is 2520 Us Highway 19, Holiday, Florida. You can contact this provider via phone number 7279391584. The mailing address for Roberta M Killeen Md Pa is 2520 Us Highway 19, Holiday, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roberta M Killeen Md Pa |
|---|---|
| Address | 2520 Us Highway 19, Holiday, Florida |
| Phone Number | 7279391584 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Killeen M Roberta |
| Credentials | MD |
| Telephone Number | 7279391584 |
NPI Number Detail
| NPI Number | 1609039361 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 2520 Us Highway 19 |
|---|---|
| City | Holiday |
| State | Florida (FL) |
| Post Code | 346913846 |
| Phone Number | 7279391584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 800009658 |
|
Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Roberta M Killeen Md Pa?
The Roberta M Killeen Md Pa has been issued the NPI (National Provider Identifier) 1609039361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Roberta M Killeen Md Pa is located?
The Roberta M Killeen Md Pa is situated at the following address: 2520 Us Highway 19, Holiday, FL, 346913846.
What is the Roberta M Killeen Md Pa's area of specialization and corresponding taxonomy classification?
The Roberta M Killeen Md Pa's specialty field is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their specialties.
On what date did the Roberta M Killeen Md Pa receive the assignment of its 1609039361 from the Centers for Medicare & Medicaid Services?
The Roberta M Killeen Md Pa was issued its 1609039361 by the Centers for Medicare & Medicaid Services on 2008-07-02.
When was the information related to Roberta M Killeen Md Pa most recently updated or refreshed?
The details pertaining to the Roberta M Killeen Md Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-02.