Organization
AT HOME LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADAY BRUZON CPT (OWNER)
(863) 233-4548
Entity
Organization
Contact information
Practice address
1212 NE 11TH TER, CAPE CORAL, FL 33909-1439
(863) 233-4548
Mailing address
1212 NE 11TH TER, CAPE CORAL, FL 33909-1439
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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