Organization
ANOTHER CHANCE DIAGNOSTIC LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TOYA DAWSON (CREDENTIALING SPECIALIST)
(352) 231-7551
Entity
Organization
Contact information
Practice address
3901 TITELIST CT APT 2337, ORLANDO, FL 32839-3296
(407) 403-2061
Mailing address
3901 TITELIST CT APT 2337, ORLANDO, FL 32839-3296
(407) 403-2061
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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