Organization
TREASURE COAST DIAGNOSTIC LABORATORY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONDY LOUISSAINT (CEO)
(772) 773-0935
Entity
Organization
Contact information
Practice address
142 NW SWANN MILL CIR, PORT SAINT LUCIE, FL 34986-3592
(772) 773-0935
Mailing address
PO BOX 880245, PORT SAINT LUCIE, FL 34988-0245
(772) 773-0935
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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