Organization
ANGEL HANDS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON COOPER (OWNER)
(772) 207-6391
Entity
Organization
Contact information
Practice address
2261 SW IVORY RD, PORT ST LUCIE, FL 34953-2142
(772) 418-9099
Mailing address
2261 SW IVORY RD, PORT ST LUCIE, FL 34953-2142
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
07/22/2024
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