Organization
SUPERIOR LAB INC
Active
Other names
Superior Lab Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN RAMOS (OWNER)
(727) 512-7206
Entity
Organization
Contact information
Practice address
4840 164TH AVE N, CLEARWATER, FL 33762-3231
(727) 492-0545
(727) 530-3513
Mailing address
4840 164TH AVE N, CLEARWATER, FL 33762-3231
(727) 492-0545
(727) 530-3513
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
P06000053366
FL
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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