Organization
PREMIUM DIAGNOSTICS LLC
Active
Other names
Premium Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN RAMABADRAN (CEO)
(813) 379-3084
Entity
Organization
Contact information
Practice address
2664 CYPRESS RIDGE BLVD, STE 101, WESLEY CHAPEL, FL 33544-6325
(813) 379-3084
Mailing address
425 S KINGS AVE, STE 102, BRANDON, FL 33511-5919
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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