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Organization

PAULA BUSHMAN

Active
Other names
Altech Diagnostics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAULA BUSHMAN (OWNER)
(866) 216-9283
Entity
Organization

Contact information

Practice address
4020 SW 54TH AVE, DAVIE, FL 33314-3735
(866) 216-9283
Mailing address
4020 SW 54TH AVE, DAVIE, FL 33314-3735
(866) 216-9283

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
E2070
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V1484
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/02/2008
Last updated
06/17/2008
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