# HOME CLINIC LABS LLC

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

## Provider details

- **NPI number:** 1215516760
- **Authorized official:** NAIKEL ANGEL RODRIGUEZ (AMBR)
- **Authorized official phone:** (305) 389-8508

## Contact information

- **Practice address:** 801 BRICKELL BAY DR APT 864, MIAMI, FL 33131-2937
- **Practice address phone:** (305) 389-8508
- **Mailing address:** 801 BRICKELL BAY DR APT 864, MIAMI, FL 33131-2937
- **Mailing address phone:** (305) 389-8508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 04/02/2021
- **Last updated:** 04/19/2021