Organization
MIALAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MARTINEZ (VICE PRESIDENT)
(954) 744-9461
Entity
Organization
Contact information
Practice address
2129 W 76TH ST, HIALEAH GARDENS, FL 33016-1892
(305) 364-7100
Mailing address
2129 W 76TH ST, HIALEAH, FL 33016-1892
(305) 364-7100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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