Organization
SOUTHERN QUEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN GRANT (CEO)
(954) 546-4460
Entity
Organization
Contact information
Practice address
1500 NW 62ND ST STE 406, FT LAUDERDALE, FL 33309-1851
(954) 546-4460
(866) 635-0548
Mailing address
1500 NW 62ND ST STE 406, FT LAUDERDALE, FL 33309-1851
(954) 546-4460
(866) 635-0546
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
04/26/2023
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