Organization
GRAVITY X LLC
Active
Other names
Gravity X LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN M ANTONOV (LABORATORY DIRECTOR)
(561) 846-0303
Entity
Organization
Contact information
Practice address
3045 N FEDERAL HWY STE 60G, FORT LAUDERDALE, FL 33306-1415
(561) 846-0303
Mailing address
3045 N FEDERAL HWY STE 60G, FORT LAUDERDALE, FL 33306-1415
(561) 846-0303
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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