Organization
DIAGNOSTIC CYTOPATHOLOGY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA M SANTAELLA M.D. (OWNER)
(305) 448-7213
Entity
Organization
Contact information
Practice address
2307 S DOUGLAS RD STE 203, MIAMI, FL 33145-3057
(305) 448-7213
Mailing address
PO BOX 140878, CORAL GABLES, FL 33114-0878
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
FL
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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