Organization
RAJ ENTERPRISES OF CENTRAL FLORIDA LLC
Active
Other names
Pinnacle Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F PORTER (OWNER)
(352) 236-4247
Entity
Organization
Contact information
Practice address
1410 NE 8TH AVE, OCALA, FL 34470-4250
(352) 236-4247
(352) 236-4240
Mailing address
1410 NE 8TH AVE, OCALA, FL 34470-4250
(352) 236-4247
(352) 236-4240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800026753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008430600
—
FL
05
—
1583979
—
AK
01
—
L005S
FLORIDA BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/30/2012
Last updated
10/01/2015
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