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Organization

INTEGRA LAB MANAGMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEROY MELL JR. PH.D (CLINICAL LABORATORY DIRECTOR)
(561) 935-3035
Entity
Organization

Contact information

Practice address
1001 JUPITER PARK DR, SUITE 117, JUPITER, FL 33458-6002
(561) 935-3035
Mailing address
1001 JUPITER PARK DR, SUITE 117, JUPITER, FL 33458-6002

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/19/2015
Last updated
06/19/2015
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