Organization
PRIMARY DIAGNOSTICS LABORATORY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN-ROBERT B DUMAS (OWNER)
(973) 517-8740
Entity
Organization
Contact information
Practice address
115 S 17TH AVE, HOLLYWOOD, FL 33020-6801
(954) 505-7301
(954) 505-7302
Mailing address
115 S 17TH AVE, HOLLYWOOD, FL 33020-6801
(954) 505-7301
(954) 505-7302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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