Organization
SOUTH FLORIDA LAB TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P REGO (OWNER)
(786) 631-3852
Entity
Organization
Contact information
Practice address
10000 SW 56TH ST, SUITE 3, MIAMI, FL 33165-7165
(786) 631-3852
(786) 631-3847
Mailing address
10000 SW 56TH ST, SUITE 3, MIAMI, FL 33165-7165
(786) 631-3852
(786) 631-3847
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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