New Wave Clinical Laboratory LLC
Clinical Medical Laboratory in Tamarac, FL. Organization (NPI-2).
NPI number1609596907
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1609596907
- Entity type
- Organization (NPI-2)
- Legal business name
- New Wave Clinical Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Quality Laboratory Services (Doing Business As)
Practice location
4980 N State Road 7Tamarac, FL 33319-5810
Phone 954-751-5100 · Fax 954-751-5200
Mailing address
4980 N State Road 7Tamarac, FL 33319-5810
Authorized official
Greg Roman
Owner
9547515100
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