Organization
ACCORD MEDICAL LABS OF FL LLC
Active
Other names
Accord Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
WAJAHATUDDIN MACCI (OWNER)
(773) 817-5928
Entity
Organization
Contact information
Practice address
6251 PARK BLVD N STE 1A, PINELLAS PARK, FL 33781-3238
(773) 817-5928
Mailing address
343 N WOOD DALE RD STE 201A, WOOD DALE, IL 60191-1578
(773) 817-5928
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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