Organization
PRODRAW MOBILE LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA BENCOSME CMA, CPT, CET (OWNER/PLEBOTOMIST)
(239) 328-3236
Entity
Organization
Contact information
Practice address
17348 MONTE ISOLA WAY NORTH, FORT MYERS, FL 33917
(239) 328-3236
Mailing address
17348 MONTE ISOLA WAY, NORTH FORT MYERS, FL 33917-2177
(239) 328-3236
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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