Organization
FISSION DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY AND (CEO)
(561) 308-6452
Entity
Organization
Contact information
Practice address
613 NORTHLAKE BLVD STE 4, NORTH PALM BEACH, FL 33408-5323
(561) 308-6452
Mailing address
416 WESTWIND DR, NORTH PALM BEACH, FL 33408-5174
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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