Organization
CMLAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA C OROZCO MT (MEDICAL TECHNOLOGIST SUPERVISOR VP)
(954) 704-9116
Entity
Organization
Contact information
Practice address
20861 JOHNSON STREET, SUITE 117-118, PEMBROKE PINES, FL 33029
(954) 704-9116
(954) 704-8823
Mailing address
20861 JOHNSON ST, SUITE 117-118, PEMBROKE PINES, FL 33029-1926
(954) 704-9116
(954) 704-8823
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031285100
—
FL
Enumeration date
08/17/2006
Last updated
07/15/2015
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