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Organization

AMERICAN RESEARCH LABS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVE SMITH (CEO)
(336) 263-8743
Entity
Organization

Contact information

Practice address
5511 S CONGRESS AVE STE 125, ATLANTIS, FL 33462-1140
(561) 379-3955
Mailing address
5511 S CONGRESS AVE STE 125, ATLANTIS, FL 33462-1140
(561) 379-3955

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D2126590
CLIA
FL
01
800028608
FLORIDA ACHA
FL
01
LB863
PTAN
FL
Enumeration date
04/28/2016
Last updated
04/27/2020
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