Organization
MAVERICK LABS LLC
Active
Other names
Optum Labs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HIRTH (OWNER)
(561) 504-8343
Entity
Organization
Contact information
Practice address
4601 N CONGRESS AVE SUITE 203, WEST PALM BEACH, FL 33407
(561) 806-0990
(561) 423-2495
Mailing address
4601 N CONGRESS AVE SUITE 203, WEST PALM BEACH, FL 33407
(561) 806-0990
(561) 423-2495
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800028324
FL
Other
Enumeration date
11/14/2016
Last updated
11/25/2020
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