Organization
LABORATORY MEDICINE CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. GRATTENDICK (VICE PRESIDENT)
(561) 626-5512
Entity
Organization
Contact information
Practice address
7455 W WASHINGTON AVE, SUITE 301, LAS VEGAS, NV 89128-4337
(702) 732-3441
(702) 732-2310
Mailing address
11025 RCA CENTER DR, SUITE 300, PALM BEACH GARDENS, FL 33410-4269
(561) 626-5512
(561) 626-4530
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225000
—
NV
Enumeration date
03/29/2006
Last updated
03/23/2016
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