Organization
ALL AMERICAN LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GILL (BUSINESS ASSOCIATE)
(561) 576-0624
Entity
Organization
Contact information
Practice address
1701 GREEN RD, SUITE A-2, POMPANO BEACH, FL 33064-1074
(754) 220-5017
(561) 576-0632
Mailing address
1701 GREEN RD, SUITE A-2, POMPANO BEACH, FL 33064-1074
(754) 220-5017
(561) 576-0632
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800028201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104849
STATE OF FLORIDA CLINICAL LABORATORY LICENSE
FL
01
—
800028201
STATE OF FLORIDA CLINICAL LABORATORY LICENSE
FL
Enumeration date
07/25/2016
Last updated
07/25/2016
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