Organization
EAGLE TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS D. INCOGNITO SR. (MANAGER)
(201) 923-8992
Entity
Organization
Contact information
Practice address
555 HERITAGE DR STE 120, JUPITER, FL 33458-5286
(561) 508-3101
Mailing address
7138 HAWKS NEST TER, RIVIERA BEACH, FL 33407-1126
(201) 923-8992
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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