Organization
APTIVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB POLLAK (PRESIDENT)
(346) 466-8700
Entity
Organization
Contact information
Practice address
5442 FRONTAGE RD STE 130, FOREST PARK, GA 30297-2526
(346) 466-8700
Mailing address
3920 N 29TH AVE, HOLLYWOOD, FL 33020-1010
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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