Organization
FRIENDS TESTING FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL LASSUS (PRESIDENT)
(305) 392-0969
Entity
Organization
Contact information
Practice address
601 SW 57TH AVE, MIAMI, FL 33144-3977
(305) 392-0969
(305) 456-2097
Mailing address
601 SW 57TH AVE, MIAMI, FL 33144-3977
(305) 392-0969
(305) 456-2097
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8640
AHCA HCC UNIT
FL
Enumeration date
02/02/2010
Last updated
02/02/2010
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