Organization
LIVING TREE LABORATORIES LLC
Active
Other names
ANS Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE DUNOFF (CHIEF EXECUTIVE OFFICER)
(215) 499-5619
Entity
Organization
Contact information
Practice address
555 HERITAGE DR STE 125, JUPITER, FL 33458-5287
(561) 408-6700
(561) 828-8531
Mailing address
555 HERITAGE DR STE 125, JUPITER, FL 33458-5287
(215) 499-5619
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027399
FL
Other
Enumeration date
11/17/2014
Last updated
11/19/2014
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