Superior Clinical Labs, LLC
Clinical Medical Laboratory in Jacksonville, FL. Organization (NPI-2).
NPI number1982193330
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1982193330
- Entity type
- Organization (NPI-2)
- Legal business name
- Superior Clinical Labs, LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2018
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
7685 103rd St Ste 1aJacksonville, FL 32210-9326
Phone 904-647-7404
Mailing address
7685 103rd St Ste 1aJacksonville, FL 32210-9326
Phone 904-647-7404
Authorized official
Maria Gonzalez
Manager
9046477404
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