Organization
UNILAB OF DADE INC
Active
Other names
Unilab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO E CORTES JR. BS (V.P)
(954) 792-7422
Entity
Organization
Contact information
Practice address
2145 DAVIE BLVD, #106, FT LAUDERDALE, FL 33312-3161
(954) 792-7422
(954) 797-9494
Mailing address
2145 DAVIE BLVD, #106, FT LAUDERDALE, FL 33312-3161
(954) 792-7422
(954) 797-9494
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D0284855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0284855
CLIA #
FL
Enumeration date
07/20/2005
Last updated
07/20/2010
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