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Organization

SOUTHEAST MEDICAL LAB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MANUEL HERNANDEZ LABORATORY SUPERVISO (PRESIDENT)
(305) 805-3748
Entity
Organization

Contact information

Practice address
6920 NW 72ND AVE, MIAMI, FL 33166-3036
(305) 805-3748
(305) 805-3749
Mailing address
6920 NW 72ND AVE, MIAMI, FL 33166-3036
(305) 805-3748
(305) 805-3749

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800016264
FL

Other

Enumeration date
05/17/2006
Last updated
11/26/2012
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