Organization
ASSURED TOXICOLOGY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE DAVID LOCKE (OWNER)
(407) 832-0734
Entity
Organization
Contact information
Practice address
4201 VINELAND RD, SUITE I-12, ORLANDO, FL 32811-7486
(321) 710-3405
(321) 413-0255
Mailing address
4201 VINELAND RD, SUITE I-12, ORLANDO, FL 32811-7486
(321) 710-3405
(321) 413-0255
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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