Organization
MIDWAY SPECIALTY DIAGNOSTICS LLC
Active
Parent organization
MIDWAY SPECIALTY CARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY SPECIALTY CARE CENTER INC
Authorized official
ANAND SUKHRAM (CEO)
(772) 464-9746
Entity
Organization
Contact information
Practice address
3255 S US HIGHWAY 1, FORT PIERCE, FL 34982-6381
(772) 464-9746
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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