Organization
CEDAR POINT LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ARTHUR DEAN (MANAGING PARTNER)
(833) 246-5227
Entity
Organization
Contact information
Practice address
823 SE OSCEOLA ST STE 2, STUART, FL 34994-2431
(833) 246-5227
Mailing address
14900 SW 30TH ST UNIT 279338, MIRAMAR, FL 33027-7295
(833) 246-5227
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2160656
CLIA
FL
01
—
29321
COLA
FL
Enumeration date
01/23/2019
Last updated
01/23/2019
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