Organization
MEDICAL DNA LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE GARI (CHIEF ADMINISTRATIVE OFFICER)
(813) 549-2134
Entity
Organization
Contact information
Practice address
501 N REO ST, TAMPA, FL 33609-1012
(813) 769-8810
Mailing address
PO BOX 205213, DALLAS, TX 75320-5213
(813) 769-8810
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104904500
—
FL
Enumeration date
05/14/2014
Last updated
09/20/2025
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