Organization
SAGE MEDICAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS S DANTINI (PRESIDENT)
(386) 676-0820
Entity
Organization
Contact information
Practice address
533 N NOVA RD, SUITE 202, ORMOND BEACH, FL 32174-4447
(386) 944-0826
(386) 677-6783
Mailing address
PO BOX 10540, DAYTONA BEACH, FL 32120-0540
(386) 944-0826
(386) 677-6783
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
02/25/2008
Last updated
12/19/2008
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