Organization
EMERALD DIAGNOSTIC SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ESCOTO (PRESIDENT)
(786) 536-4439
Entity
Organization
Contact information
Practice address
7911 NW 72ND AVE, SUITE 206, MEDLEY, FL 33166-2227
(786) 536-4439
(786) 536-6572
Mailing address
7911 NW 72ND AVE, SUITE 206, MEDLEY, FL 33166-2227
(786) 536-4439
(786) 536-6572
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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