Organization
BLUE ANGEL DIAGNOSTIC LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNA EDMOND-VOLMAR DNP, ARNP, FNP-BC (OWNER/ADMINISTRATOR)
(954) 778-4344
Entity
Organization
Contact information
Practice address
2300 W SAMPLE RD STE 212, POMPANO BEACH, FL 33073-3048
(954) 778-4344
Mailing address
6662 SCHOONER TER, MARGATE, FL 33063-8326
(954) 778-4344
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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