Organization
CBS LABS OF TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ROBAINA (PRESIDENT)
(813) 304-0073
Entity
Organization
Contact information
Practice address
1916 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607
(786) 367-3554
Mailing address
1916 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6510
(813) 304-0073
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
PRIVATE
FL
Enumeration date
01/24/2017
Last updated
10/18/2022
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