Organization
INNOVATIVE LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE C NOEL (PRESIDENT)
(954) 621-8674
Entity
Organization
Contact information
Practice address
1710 NE 2ND TER, POMPANO BEACH, FL 33060-5222
(954) 702-5224
Mailing address
1710 NE 2ND TER, POMPANO BEACH, FL 33060-5222
(954) 702-5224
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/28/2022
Last updated
02/17/2022
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