Organization
SEA LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMACHIE CHINAPIN (CFO)
(352) 789-2031
Entity
Organization
Contact information
Practice address
519 E BLOOMINGDALE AVE, SUITE A, BRANDON, FL 33511-8180
(352) 789-2031
Mailing address
4730 SW 49TH RD, OCALA, FL 34474-6262
(352) 789-2031
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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