Organization
INDEPENDANT LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P FERRARO (MANAGING MEMBER)
(772) 971-6021
Entity
Organization
Contact information
Practice address
6969 HERITAGE DRIVE, PORT SAINT LUCIE, FL 34952
(772) 971-6021
(772) 466-9991
Mailing address
6971 HERITAGE DR, PORT SAINT LUCIE, FL 34952-8229
(772) 971-6021
(772) 466-9991
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027783
FL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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