Organization
THE LABORATORY GROUP OF NORTHWEST FLORIDA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH JOSEPH DAVIS M.D. (LABORATORY DIRECTOR)
(850) 438-1154
Entity
Organization
Contact information
Practice address
4724 N DAVIS HWY, 2ND FLOOR, PENSACOLA, FL 32503-2339
(850) 438-1154
(850) 433-6034
Mailing address
4724 N DAVIS HWY, 2ND FLOOR, PENSACOLA, FL 32503-2339
(850) 438-1154
(850) 433-6034
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001697200
—
FL
Enumeration date
08/13/2009
Last updated
08/11/2010
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