Organization
ELITE DIAGNOSTIC LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIBERTO TORRES (OWNER/SECRETARY)
(954) 584-8848
Entity
Organization
Contact information
Practice address
4111 SW 47 TH AVE, SUITE 331, DAVIE, FL 33314-4026
(954) 584-8848
(954) 584-8850
Mailing address
4111 SW 47TH AVE, SUITE 331, DAVIE, FL 33314-4026
(954) 584-8848
(954) 584-8850
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U00000X
FL
Other
Enumeration date
12/03/2008
Last updated
01/09/2013
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