Organization
STADIA LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEVERAL DEACON (MANAGER)
(305) 491-3809
Entity
Organization
Contact information
Practice address
1200 NW 78TH AVE STE 111, DORAL, FL 33126-1816
(786) 773-5421
Mailing address
1200 NW 78TH AVE STE 111, DORAL, FL 33126-1816
(786) 773-5421
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
01/06/2024
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