Organization
INNOVATIVE LABS OF SFL
Active
Other names
INNOVATIVE LABS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE NOEL (PRESIDENT)
(954) 859-4030
Entity
Organization
Contact information
Practice address
1710 NE 2ND TER, POMPANO BEACH, FL 33060-5222
(954) 859-4030
Mailing address
1710 NE 2ND TER, POMPANO BEACH, FL 33060-5222
(954) 859-4030
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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