Organization
OMNI HEALTHCARE, INC.
Active
Other names
Melbourne Medical Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG K DELIGDISH M.D. (MEDICAL DIRECTOR)
(321) 722-1766
Entity
Organization
Contact information
Practice address
95 BULLDOG BLVD, STE 202, MELBOURNE, FL 32901-3332
(321) 722-1766
(321) 722-0346
Mailing address
95 BULLDOG BLVD, STE 202, MELBOURNE, FL 32901-3332
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374370500-17
—
FL
Enumeration date
02/01/2006
Last updated
04/13/2017
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