is a Clinical Medical Laboratory in Miami, Florida. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for is 1891747325. The last update date is .
's current location address is 1611 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3052437688 and fax number 3052438470. The mailing address for is 1611 Nw 12th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1611 Nw 12th Ave, Miami, Florida |
| Phone Number | 3052437688 |
| Fax Number | 3052438470 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891747325 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1611 Nw 12th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331361005 |
| Phone Number | 3052437688 |
| Fax Number | 3052438470 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0306606-00 | FL | -- |
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