Organization
GENLAB CORPORATION
Active
Other names
E-LAB OF FLORIDA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO PABRIAGA (CFO)
(725) 777-8066
Entity
Organization
Contact information
Practice address
1417 SE 1ST AVE, FORT LAUDERDALE, FL 33316-1805
(954) 530-8332
(954) 533-7605
Mailing address
1417 SE 1ST AVE, FORT LAUDERDALE, FL 33316-1805
(954) 530-8332
(954) 533-7605
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D1082277
IL
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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