Organization
SUNRISE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLENE O'NEIL (OWNER)
(940) 399-1986
Entity
Organization
Contact information
Practice address
6565 TAFT ST STE 402A, HOLLYWOOD, FL 33024-4056
(940) 399-1986
(682) 593-1933
Mailing address
1207 BUTTERFIELD ST, BRIDGEPORT, TX 76426-3323
(940) 399-1986
(682) 593-1933
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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