Organization
GREENLEAVES DIAGNOSTIC LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL KANDHOROV (OWNER)
(631) 220-2903
Entity
Organization
Contact information
Practice address
202 N TEXAS AVE STE 150, WEBSTER, TX 77598-4967
(716) 245-7886
Mailing address
PO BOX 1692, NEW YORK, NY 10150-1692
(716) 245-7886
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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