Organization
MAJESTIC DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERITA CHANG (MANAGER)
(954) 993-2040
Entity
Organization
Contact information
Practice address
1701 GREEN RD STE A6, DEERFIELD BEACH, FL 33064-1074
(954) 993-2040
(954) 990-6305
Mailing address
14900 SW 30TH ST UNIT 277927, MIRAMAR, FL 33027-7222
(954) 228-1828
(954) 990-6305
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2277580
CLIA
FL
Enumeration date
04/04/2023
Last updated
07/27/2023
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