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Organization

MILLENIA ADVANCED SCIENTIFIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHANIEL JOSH KAHN (MANAGING MEMBER)
(407) 429-5088
Entity
Organization

Contact information

Practice address
4303 VINELAND RD STE F7, ORLANDO, FL 32811-7372
(407) 429-5088
(407) 429-5059
Mailing address
4303 VINELAND RD STE F7, ORLANDO, FL 32811-7372
(407) 429-5088
(407) 429-5059

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D2197350
CLIA
FL
Enumeration date
10/28/2020
Last updated
01/23/2026
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