Organization
PATHEMA GX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER TODD EAVES (PRESIDENT)
(916) 716-7117
Entity
Organization
Contact information
Practice address
20 S FEDERAL HWY # A, DANIA, FL 33004-3605
(754) 702-7168
Mailing address
20 S FEDERAL HWY # A, DANIA, FL 33004-3605
(754) 702-7168
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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