# MEDSOUTHFL LAB LLC

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

## Provider details

- **NPI number:** 1205769536
- **Authorized official:** GREG LUBIN (PRESIDENT)
- **Authorized official phone:** (305) 789-6543

## Contact information

- **Practice address:** 12550 BISCAYNE BLVD \# 800-15, NORTH MIAMI, FL 33181-2541
- **Practice address phone:** (786) 677-2489
- **Mailing address:** 12550 BISCAYNE BLVD \# 800-15, NORTH MIAMI, FL 33181-2541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291900000X | Military Clinical Medical Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2026
- **Last updated:** 06/05/2026