Organization
B & M OXIMETRY LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHIA S MONROIG (PRESIDENT)
(772) 621-4299
Entity
Organization
Contact information
Practice address
2351 SW PLUM CT, PORT SAINT LUCIE, FL 34953-5768
(772) 621-4299
(772) 621-4195
Mailing address
2351 SW PLUM CT, PORT SAINT LUCIE, FL 34953-5768
(772) 621-4299
(772) 621-4195
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
729920041019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1507919
UNITED MINE WORKERS OF AM
CA
01
—
7802OUTOFSTATE
HORIZON BC BS OF NJ
NJ
01
—
C E1728
UNITED AMERICAN INSURANCE
TX
01
—
E1728FL
ANTHEM
CT
01
—
HDM0010168
BC BS OF RI
RI
01
—
HIGHMARK BLUESHIELD
HIGHMARK BLUESHEILD
PA
01
—
V1927
BC BS OF FLORIDA
FL
01
—
Z37651
BC BS OF MASS
MA
Enumeration date
08/15/2006
Last updated
04/20/2008
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