Organization
PATRIOT LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI REGINA (COO)
(407) 446-6556
Entity
Organization
Contact information
Practice address
2380 SUNSET POINT RD, CLEARWATER, FL 33765-1430
(727) 466-1028
(727) 232-9779
Mailing address
3705 S HWY 27, CLERMONT, FL 34711-7950
(407) 446-6556
(888) 304-2622
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
11/20/2025
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