# MIALAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144034158
- **Authorized official:** MR. MICHAEL MARTINEZ (VICE PRESIDENT)
- **Authorized official phone:** (954) 744-9461

## Contact information

- **Practice address:** 2129 W 76TH ST, HIALEAH GARDENS, FL 33016-1892
- **Practice address phone:** (305) 364-7100
- **Mailing address:** 2129 W 76TH ST, HIALEAH, FL 33016-1892
- **Mailing address phone:** (305) 364-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025