Organization
DIAGNOSTIC CYTOPATHOLOGY LABORATORY INC
Active
Other names
Fine Needle Aspiration Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDALIA M SANTAELLA M.D. (MANAGING DIRECTOR)
(305) 448-7213
Entity
Organization
Contact information
Practice address
135 SAN LORENZO AVE, UNIT 100, CORAL GABLES, FL 33146-1524
(305) 448-7213
(305) 448-9282
Mailing address
PO BOX 140878, CORAL GABLES, FL 33114-0878
(305) 448-7213
(305) 448-9282
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
ME44084
FL
207ZC0500X
Cytopathology Physician
ME44084
FL
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
ME44084
FL
207ZP0101X
Anatomic Pathology Physician
ME44084
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME44084
FL
2085U0001X
Diagnostic Ultrasound Physician
ME44084
FL
208D00000X
General Practice Physician
Primary
ME44084
FL
246R00000X
Pathology Technician
ME44084
FL
246RH0600X
Histology Technician
ME44084
FL
246RM2200X
Medical Laboratory Technician
ME44084
FL
291U00000X
Clinical Medical Laboratory
ME44084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056941100
—
FL
Enumeration date
03/13/2007
Last updated
04/08/2014
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