Organization
APPLIED INGENUITY DIAGNOSTICS LLC
Active
Other names
APPLIED INGENUITY DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI BHOSALE (COO)
(877) 277-5439
Entity
Organization
Contact information
Practice address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(877) 277-5439
(877) 577-5439
Mailing address
2531 NW 41ST ST BLDG A, GAINESVILLE, FL 32606-7490
(877) 277-5439
(877) 277-5439
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102755900
—
FL
Enumeration date
10/31/2018
Last updated
08/09/2022
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