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Organization

CRANE CREEK LAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWSON SMITH (OWNER)
(904) 586-6973
Entity
Organization

Contact information

Practice address
1600 SARNO RD STE 10, MELBOURNE, FL 32935-4992
(904) 586-6973
(321) 334-6515
Mailing address
1600 SARNO RD STE 10, MELBOURNE, FL 32935-4992
(904) 586-6973
(321) 334-6515

Taxonomy

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

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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