Organization
ANY LAB TEST FAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTELA PINNAVARIA (LABORATORY DIRECTOS/OWNER)
(305) 456-3317
Entity
Organization
Contact information
Practice address
14055 WEST DIXIE, NORTH MIAMI, FL 33161-3442
(305) 456-3317
(305) 456-9219
Mailing address
14055 WEST DIXIE, NORTH MIAMI, FL 33161-3442
(305) 456-3317
(305) 456-9219
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13-64-1351067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10D2024732
—
FL
Enumeration date
07/06/2011
Last updated
07/06/2011
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