Organization
SUNCOAST LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX JANOV (PRESIDENT/OWNER)
(904) 236-8916
Entity
Organization
Contact information
Practice address
1112 3RD ST STE 8, NEPTUNE BEACH, FL 32266-5066
(904) 236-8916
Mailing address
1112 3RD ST STE 8, NEPTUNE BEACH, FL 32266-5066
(904) 236-8916
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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