Organization
INTELEX LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PAGAN (MEMBER)
(724) 570-5852
Entity
Organization
Contact information
Practice address
7859 SW ELLIPSE WAY, STUART, FL 34997-7247
(304) 657-9011
Mailing address
1645 PALM BEACH LAKES BLVD STE 1010, WEST PALM BEACH, FL 33401-2218
(304) 657-9011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
10/10/2019
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