Southeast Medical Lab Inc in Miami - Clinical Medical Laboratory
Southeast Medical Lab Inc - NPI 1417909433
Southeast Medical Lab Inc is a Clinical Medical Laboratory in Miami, Florida. Southeast Medical Lab Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Southeast Medical Lab Inc is 1417909433. The last update date is 2012-11-26.
Southeast Medical Lab Inc's current location address is 6920 Nw 72nd Ave, Miami, Florida. You can contact this provider via phone number 3058053748 and fax number 3058053749. The mailing address for Southeast Medical Lab Inc is 6920 Nw 72nd Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Medical Lab Inc |
|---|---|
| Address | 6920 Nw 72nd Ave, Miami, Florida |
| Phone Number | 3058053748 |
| Fax Number | 3058053749 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hernandez Manuel |
| Credentials | LABORATORY |
| Telephone Number | 3058053748 |
NPI Number Detail
| NPI Number | 1417909433 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2012-11-26 |
Provider Mailing Address Detail
| Address | 6920 Nw 72nd Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331663036 |
| Phone Number | 3058053748 |
| Fax Number | 3058053749 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 800016264 |
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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 |
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What is the Southeast Medical Lab Inc's unique identification number?
The Southeast Medical Lab Inc has been assigned the NPI (National Provider Identifier) Number 1417909433 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Southeast Medical Lab Inc?
The Southeast Medical Lab Inc is situated at 6920 Nw 72Nd Ave, in the city of Miami, state of FL, with the zip code 331663036.
What is Southeast Medical Lab Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeast Medical Lab Inc's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did Southeast Medical Lab Inc receive its 1417909433 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Medical Lab Inc was assigned its 1417909433 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Southeast Medical Lab Inc most recently updated or revised?
The information pertaining to Southeast Medical Lab Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-26.
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