Organization
URBAN LAB SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMIA MUHAMMAD (OWNER)
(321) 278-0084
Entity
Organization
Contact information
Practice address
4701 CARMEL ST, ORLANDO, FL 32808-2701
(321) 278-0084
Mailing address
1317 EDGEWATER DR # 2581, ORLANDO, FL 32804-6350
(321) 278-0084
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003210022
—
FL
Enumeration date
03/18/2022
Last updated
03/18/2022
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