Organization
CORE BIOTECH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ADAM SHIRLEY MS, MLS (ASCP) (LABORATORY GENERAL SUPERVISOR)
(601) 540-6974
Entity
Organization
Contact information
Practice address
1325 S KILLIAN DR, SUITE 1, LAKE PARK, FL 33403-1965
(561) 508-8194
(561) 847-4466
Mailing address
1325 S KILLIAN DR, SUITE 1, LAKE PARK, FL 33403-1965
(561) 508-8194
(561) 847-4466
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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