Organization
BLOODLNK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JJAY D GRAZETTE (OWNER)
(305) 587-4894
Entity
Organization
Contact information
Practice address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 587-4894
Mailing address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 896-0879
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
246RM2200X
Medical Laboratory Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
10/18/2022
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