Organization
QDS TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIRSTEN WALLACE (CEO)
(818) 651-4594
Entity
Organization
Contact information
Practice address
6831 NW 20TH AVE, SUITE 106, FORT LAUDERDALE, FL 33309
(818) 651-4594
Mailing address
6831 NW 20TH AVE, SUITE 106, FORT LAUDERDALE, FL 33309
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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