# ANGEL HANDS DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1730937004
- **Authorized official:** SHARON COOPER (OWNER)
- **Authorized official phone:** (772) 207-6391

## Contact information

- **Practice address:** 2261 SW IVORY RD, PORT ST LUCIE, FL 34953-2142
- **Practice address phone:** (772) 418-9099
- **Mailing address:** 2261 SW IVORY RD, PORT ST LUCIE, FL 34953-2142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 07/22/2024
