Organization
MED DIAGNOSTIC LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANDHI JACQUES (OWNER)
(954) 369-7253
Entity
Organization
Contact information
Practice address
499 NW 70TH AVE, PLANTATION, FL 33317-7500
(754) 800-1426
Mailing address
499 NW 70TH AVE, PLANTATION, FL 33317-7500
(754) 800-1426
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
10/18/2023
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