Organization
I MD PATHLAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CR JEANETTE MORALES-DUCRET MD (OWNER)
(561) 236-1711
Entity
Organization
Contact information
Practice address
1500 N DIXIE HIGHWAY, SUITE 308, WEST PALM BEACH, FL 33401-2717
(561) 236-1711
(561) 736-9807
Mailing address
1500 N DIXIE HIGHWAY, SUITE 308, WEST PALM BEACH, FL 33401-2717
(561) 236-1711
(561) 736-9807
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
ME0069744
FL
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/03/2008
Last updated
02/06/2009
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