Organization
FLORIDA MEDICAL LAB
Active
Parent organization
CAROLINA MEDICAL LAB GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA MEDICAL LAB GROUP INC
Authorized official
OMAR IDLIBI MD (OWNER)
(980) 721-6622
Entity
Organization
Contact information
Practice address
631 W 23RD ST, PANAMA CITY, FL 32405-3922
(980) 721-6622
Mailing address
631 W 23RD ST, PANAMA CITY, FL 32405-3922
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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