Organization
GLU LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN COHEN (CEO)
(561) 337-3200
Entity
Organization
Contact information
Practice address
13231 US HIGHWAY 1, JUNO BEACH, FL 33408-2799
(561) 337-3200
Mailing address
13231 US HIGHWAY 1, JUNO BEACH, FL 33408
(561) 337-3200
(844) 681-2025
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80028109
AHCA LICENSE
FL
Enumeration date
11/23/2015
Last updated
09/21/2016
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