Organization
LCM LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY LIDLOW (CFO)
(610) 937-5385
Entity
Organization
Contact information
Practice address
6831 NW 20TH AVE, SUITE 105, FORT LAUDERDALE, FL 33309-1505
(215) 601-5853
Mailing address
6831 NW 20TH AVE, SUITE 105, FORT LAUDERDALE, FL 33309-1505
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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