Organization
PRESTIGE CLINICIANS -LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ODAZIE NP (PRESIDENT)
(954) 496-2599
Entity
Organization
Contact information
Practice address
331 NW 27TH AVE STE 1, FORT LAUDERDALE, FL 33311-8632
(954) 496-2599
Mailing address
331 NW 27TH AVE STE 1, FORT LAUDERDALE, FL 33311-8632
(954) 496-2599
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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