Organization
NATIONAL LABORATORY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN DISINGER (PRESIDENT)
(561) 302-9186
Entity
Organization
Contact information
Practice address
6831 NW 20TH AVE STE 104, FT LAUDERDALE, FL 33309-1505
(561) 302-9186
Mailing address
6831 NW 20TH AVE STE 104, FT LAUDERDALE, FL 33309-1505
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800028061
FL
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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