Organization
BIO-TECH CLINICAL LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JESUS RODRIGUEZ (ADMINISTRATION)
(305) 367-1220
Entity
Organization
Contact information
Practice address
9000 NW 15TH ST UNIT 1, DORAL, FL 33172-2909
(305) 267-1220
(786) 388-8034
Mailing address
9000 NW 15TH ST UNIT 1, DORAL, FL 33172-2909
(305) 267-1220
(786) 388-8034
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800014740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103547500
—
FL
01
—
10D0965332
CLIA ID NUMBER
FL
01
—
291U00000X
TAXONOMY
FL
01
—
800014740
STATE OF FLORIDA
FL
01
—
L9210
BCBS
FL
Enumeration date
07/22/2006
Last updated
02/25/2020
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