Tj Express Lab, LLC
Point of Service in Pompano Beach, FL. Organization (NPI-2).
NPI number1801547104
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1801547104
- Entity type
- Organization (NPI-2)
- Legal business name
- Tj Express Lab, LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2022
- Certification date
- Jan 18, 2022
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
1103 Ne 33rd StPompano Beach, FL 33064-5226
Phone 954-892-4554
Mailing address
Po Box 971130Coconut Creek, FL 33097-1130
Authorized official
Taciana F Alcoforado
Managing Partner
9787275654
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