Organization
IPS LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A FUSSELL (PRESIDENT)
(386) 677-8338
Entity
Organization
Contact information
Practice address
977 GARDENIA DR, DAYTONA BEACH, FL 32117-4838
(386) 677-8337
(386) 673-5729
Mailing address
977 GARDENIA DR, DAYTONA BEACH, FL 32117-4838
(386) 677-8338
(386) 673-5729
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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