Organization
GPOWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENROY SHANE POWELL LAB DICTOR (OWNER)
(954) 864-0841
Entity
Organization
Contact information
Practice address
1785 NE 162ND ST, NORTH MIAMI BEACH, FL 33162-4757
(954) 864-0841
Mailing address
1785 NE 162ND ST, NORTH MIAMI BEACH, FL 33162-4757
(954) 864-0841
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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