Organization
HEART OF GOLD SUPERIOR LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA NICHOLE HARVEY (OWNER)
(407) 461-9200
Entity
Organization
Contact information
Practice address
801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL 32714-3056
(407) 461-9200
Mailing address
801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL 32714-3056
(407) 461-9200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113445300
—
FL
Enumeration date
09/22/2021
Last updated
12/13/2022
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