Organization
SOUTHERN MEDICAL LABORATORIES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN CHARLES GROPPER (CEO)
(561) 251-8700
Entity
Organization
Contact information
Practice address
2328 10TH AVE N STE 203, LAKE WORTH, FL 33461-6612
(561) 247-1838
(561) 516-6344
Mailing address
2328 10TH AVE N STE 203, LAKE WORTH, FL 33461-6612
(561) 247-1838
(561) 516-6344
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/02/2019
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