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Organization

QUANTUM LABS LLC

Active
Other names
Beachway Therapy Treatment Center LLC
Organization subpart
No

Provider details

NPI number
Authorized official
OLIVIA HOLMES (CFO)
(561) 865-5896
Entity
Organization

Contact information

Practice address
2600 QUANTUM BLVD, SUITE B, 2ND FLOOR, BOYNTON BEACH, FL 33426
(561) 865-5896
(561) 865-5896
Mailing address
2600 QUANTUM BLVD, SUITE B, 2ND FLOOR, BOYNTON BEACH, FL 33426
(561) 865-5896
(561) 865-5896

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
10D2045959
FL
291U00000X
Clinical Medical Laboratory
Primary
800026636
FL

Other

Enumeration date
12/17/2012
Last updated
07/21/2022
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