Organization
PUTNAM CLINICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIO MADAN MD (OWNER)
(386) 328-4036
Entity
Organization
Contact information
Practice address
700 ZEAGLER DR STE 8, PALATKA, FL 32177-3826
(386) 328-4036
(386) 328-7397
Mailing address
700 ZEAGLER DR STE 8, PALATKA, FL 32177-3826
(386) 328-4036
(386) 328-7397
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800008234
FL
Other
Enumeration date
08/08/2006
Last updated
02/13/2009
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