Organization
RIVER TOWN DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROIZIN (OWNER)
(929) 650-6052
Entity
Organization
Contact information
Practice address
8563 ARGYLE BUSINESS LOOP STE 2, JACKSONVILLE, FL 32244-6613
(929) 650-6052
(904) 833-3362
Mailing address
8563 ARGYLE BUSINESS LOOP STE 2, JACKSONVILLE, FL 32244-6613
(929) 650-6052
(904) 833-3362
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2173247
CLIA
FL
01
—
29790
COLA ACCREDITATION
FL
Enumeration date
07/29/2019
Last updated
01/16/2025
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