Organization
CM LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F. BOGDAN (PRESIDENT)
(954) 552-1003
Entity
Organization
Contact information
Practice address
20861 JOHNSON ST STE 117, PEMBROKE PINES, FL 33029-1927
(954) 704-9116
Mailing address
20861 JOHNSON ST STE 117, PEMBROKE PINES, FL 33029-1927
(954) 704-9116
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D1046281
FL
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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