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Organization

AT HOME LAB SERVICES LLC

Active
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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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