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Organization

DAVINCI INNOVATIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA ANN MILLER (CEO)
(518) 598-7272
Entity
Organization

Contact information

Practice address
9150 MAIN ST, SUITE C, HOUSTON, TX 77025-3843
(844) 384-5887
(807) 270-7384
Mailing address
PO BOX 847090, BOSTON, MA 02284-7090
(844) 384-5887
(807) 270-7384

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
L13000030595
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23D2071783
CLIA#
MI
01
45D2069185
CLIA#
TX
01
49D2069987
CLIA#
VA
Enumeration date
04/04/2013
Last updated
03/04/2014
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