Organization
UNITED LABORATORY SERVICE,CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALMA M HAIDAR (PRESIDENT)
(305) 269-0121
Entity
Organization
Contact information
Practice address
7095 SW 47TH ST BLDG B, MIAMI, FL 33155-4653
(305) 269-0121
(305) 269-4941
Mailing address
7095 SW 47 STREET, STE B, MIAMI, FL 33155
(305) 269-0121
(305) 269-4941
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032188500
—
FL
Enumeration date
08/05/2006
Last updated
07/15/2024
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