Organization
DEEP BLUE TOXICOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM STANLEY (MANAGING MEMBER)
(630) 631-2274
Entity
Organization
Contact information
Practice address
1509 PROSPERITY FARMS RD STE 101, WEST PALM BEACH, FL 33403-2025
(630) 631-2274
Mailing address
1509 PROSPERITY FARMS RD STE 101, WEST PALM BEACH, FL 33403-2025
(630) 631-2274
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
07/14/2016
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