Organization
ADVANCED CLINICAL LABORATORIES, INC.
Active
Other names
VISTA CLINICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI TILTON (COO)
(352) 241-6280
Entity
Organization
Contact information
Practice address
3705 S HWY 27 STE 101, CLERMONT, FL 34711-7950
(352) 536-9270
(352) 536-9279
Mailing address
3705 S HWY 27 STE 101, CLERMONT, FL 34711-7950
(352) 536-9270
(352) 536-9279
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800018668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030774200
—
FL
Enumeration date
11/14/2006
Last updated
02/28/2025
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