# NOVA LAB EQUIPMENT, CORP

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

## Provider details

- **NPI number:** 1780691089
- **Authorized official:** MR. JOSE A RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (305) 512-1385

## Contact information

- **Practice address:** 9807 NW 80TH AVE UNIT 11J, HIALEAH GARDENS, FL 33016-2325
- **Practice address phone:** (305) 512-1385
- **Practice address fax:** (305) 512-1396
- **Mailing address:** 9807 NW 80 AVE BAY 11 J, HIALEAH GARDENS, FL 33016
- **Mailing address phone:** (305) 512-1385
- **Mailing address fax:** (305) 512-1396

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 11/06/2007
