Heart Of Gold Superior Lab Services LLC
Clinical Medical Laboratory in Altamonte Springs, FL. Organization (NPI-2).
NPI number1447921234
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1447921234
- Entity type
- Organization (NPI-2)
- Legal business name
- Heart Of Gold Superior Lab Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2021
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
801 W State Road 436 Ste 2151Altamonte Springs, FL 32714-3056
Phone 407-461-9200
Mailing address
801 W State Road 436 Ste 2151Altamonte Springs, FL 32714-3056
Phone 407-461-9200
Authorized official
Christina Nichole Harvey
Owner
4074619200
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