Organization
EM1 LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO SKULAS (OWNER (CFO))
(954) 380-8488
Entity
Organization
Contact information
Practice address
3115 NW 10TH TER STE 108, FORT LAUDERDALE, FL 33309-5937
(561) 223-3269
Mailing address
3115 NW 10TH TER STE 108, FORT LAUDERDALE, FL 33309-5937
(561) 223-3269
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
10D2079549
FL
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019446800
—
FL
Enumeration date
09/16/2014
Last updated
06/16/2018
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