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Organization

GBT LAB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES H COKER (OWNER)
(813) 644-7753
Entity
Organization

Contact information

Practice address
3101 UNIVERSITY BLVD S, SUITE 203, JACKSONVILLE, FL 32216-2790
(813) 644-7753
(888) 482-2405
Mailing address
3101 UNIVERSITY BLVD S, SUITE 203, JACKSONVILLE, FL 32216-2790
(813) 644-7753
(888) 482-2405

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2080343
FL

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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