Organization
CRESTAR LABS FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN LOMONICO NHA (CEO)
(727) 418-2567
Entity
Organization
Contact information
Practice address
4714 AYRON TERRACE, PALM HARBOR, FL 34685
(727) 418-2567
Mailing address
4714 AYRON TER, PALM HARBOR, FL 34685-4011
(727) 418-2567
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027923
FL
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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