Organization
GULF COAST REFERENCE LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER E LANE (PRESIDENT)
(727) 849-5075
Entity
Organization
Contact information
Practice address
5354 GULF DRIVE, NEW PORT RICHEY, FL 34652-3920
(727) 847-0006
(727) 847-4589
Mailing address
5354 GULF DRIVE, NEW PORT RICHEY, FL 34652-3920
(727) 847-0006
(727) 847-4589
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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