Organization
MEADOWCREST MOLECULAR DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX J DICKERT MD (MANAGER)
(352) 795-0644
Entity
Organization
Contact information
Practice address
6199 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 795-0644
(352) 795-5950
Mailing address
6199 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-2679
(352) 795-0644
(352) 795-5950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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