Organization
RD HEALTH DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARI HALLQUIST (MANAGER)
(321) 356-1454
Entity
Organization
Contact information
Practice address
1977 ALAFAYA TRL STE 1121, OVIEDO, FL 32765-4522
(321) 356-1454
(321) 283-6175
Mailing address
1977 ALAFAYA TRL STE 1121, OVIEDO, FL 32765-4522
(321) 356-1454
(321) 283-6175
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2137170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2137170
CLIA ID
FL
Enumeration date
04/23/2018
Last updated
02/17/2021
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