Organization
QR DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN WHITEHEAD (CEO)
(561) 859-3413
Entity
Organization
Contact information
Practice address
12734 KENWOOD LN, UNIT 68, FORT MYERS, FL 33907-5666
(561) 859-3413
(561) 423-0104
Mailing address
12734 KENWOOD LN, UNIT 68, FORT MYERS, FL 33907-5666
(561) 859-3413
(561) 423-0104
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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