Organization
MARNIC, LLC
Active
Other names
United Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NAGRANI MD (PRESIDENT)
(386) 423-5500
Entity
Organization
Contact information
Practice address
610 W MLK BLVD, TAMPA, FL 33603-3450
(386) 423-5500
(386) 409-9762
Mailing address
612 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 423-5500
(386) 409-9762
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800020286
FL
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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