Intergrated Clinical Laboratory LLC
Clinical Medical Laboratory in Deerfield Beach, FL. Organization (NPI-2).
NPI number1164053435
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1164053435
- Entity type
- Organization (NPI-2)
- Legal business name
- Intergrated Clinical Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1701 Green Rd Ste A5-1Deerfield Beach, FL 33064-1074
Phone 954-200-2053
Mailing address
1700 Nw 65th Ave # 13aPlantation, FL 33313-4575
Phone 954-200-2053
Authorized official
Phily A Giorgianni
Ceo
9542002053
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