Organization
FLOW PATH LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY S HIRSCHFIELD MD (PRESIDENT)
(561) 491-8035
Entity
Organization
Contact information
Practice address
7449 SOUTH MILITARY TRAIL, LAKE WORTH, FL 33463
(305) 229-4311
(305) 229-4388
Mailing address
PO BOX 63069, CHARLESTON, SC 29419-3069
(866) 759-4528
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D1061166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2773741-00
—
FL
01
—
99799
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
07/07/2011
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