Organization
SOUTH FLORIDA LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC TANNER (CEO)
(954) 889-0335
Entity
Organization
Contact information
Practice address
3395 LAKEWORTH RD, SUITE 1, LAKE WORTH, FL 33463
(954) 889-0335
Mailing address
PO BOX 904107, CHARLOTTE, NC 28290-4107
(954) 889-0335
(305) 554-4828
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800026470
FL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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