Organization
FLORIDA FAMILY LABORATORY, INC.
Active
Other names
SM Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUREN MUSHEYEV (CEO)
(800) 563-3309
Entity
Organization
Contact information
Practice address
7290 SW 42ND ST, MIAMI, FL 33155
(800) 563-3309
(800) 833-1066
Mailing address
7290 SW 42ND ST, MIAMI, FL 33155-4506
(800) 563-3309
(800) 833-1066
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800001649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007050
—
FL
Enumeration date
07/26/2006
Last updated
10/19/2021
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