Organization
EXCELLENT LABORATORIES INC
Active
Other names
Selecta Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO CUERVO (CEO)
(888) 747-7994
Entity
Organization
Contact information
Practice address
7290 SW 42 STREET, MIAMI, FL 33155
(305) 223-6601
(305) 223-6602
Mailing address
7290 SW 42ND ST, MIAMI, FL 33155-4506
(305) 223-6601
(305) 223-6602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
10/30/2018
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