Organization
ELITE MOBILE LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIS J HERNANDEZ (CEO)
(407) 701-3484
Entity
Organization
Contact information
Practice address
5824 LAKE POINTE VILLAGE CIR, 501, ORLANDO, FL 32822-3570
(407) 701-3484
Mailing address
5824 LAKE POINTE VILLAGE CIR, 501, ORLANDO, FL 32822-3570
(407) 701-3484
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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