Organization
KOLA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN KOLAVENTY (MANAGER)
(352) 414-2270
Entity
Organization
Contact information
Practice address
304 N MAIN ST, CHIEFLAND, FL 32626-0803
(352) 507-2000
Mailing address
6600 SW HIGHWAY 200 STE 300, OCALA, FL 34476-5554
(352) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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