Organization
DRUG TESTING SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DAVIS (OWNER/PRESIDENT)
(954) 430-2676
Entity
Organization
Contact information
Practice address
10011 PINES BLVD, SUITE 202, PEMBROKE PINES, FL 33024-6189
(954) 430-2676
(954) 430-2891
Mailing address
PO BOX 870115, STONE MOUNTAIN, GA 30087-0003
(770) 985-1888
(866) 799-3188
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
20090494
FL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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