Organization
1LAB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK PAGAN (OWNER)
(304) 657-9011
Entity
Organization
Contact information
Practice address
7803 SW ELLIPSE WAY BLDG B7, STUART, FL 34997-7260
(304) 657-9011
Mailing address
1044 N US HIGHWAY 1 STE 201, JUPITER, FL 33477-4308
(304) 657-9011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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