Organization
DISTRICT DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIEDA (OWNER)
(888) 440-7560
Entity
Organization
Contact information
Practice address
823 SE OSCEOLA ST STE 1, STUART, FL 34994-2431
(888) 440-7560
(888) 726-8451
Mailing address
823 SE OSCEOLA ST STE 1, STUART, FL 34994-2431
(888) 440-7560
(888) 726-8451
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800029022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2148797
CLIA
FL
01
—
28895
COLA
FL
01
—
800029022
AHCA
FL
Enumeration date
06/12/2018
Last updated
06/21/2019
About Stedi
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