Organization
LAB 22
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED COOK (OWNER)
(239) 900-6167
Entity
Organization
Contact information
Practice address
1614 NW 42ND PL, CAPE CORAL, FL 33993-3443
(239) 900-6167
Mailing address
1614 NW 42ND PL, CAPE CORAL, FL 33993-3443
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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