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Organization

EPIC REFERENCE LABS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SRI BHARAT MADIREDDY PH.D. (CEO)
(561) 249-4317
Entity
Organization

Contact information

Practice address
7960 CENTRAL INDUSTRIAL DR, SUITE 120, RIVIERA BEACH, FL 33404-3444
(561) 249-4434
Mailing address
7960 CENTRAL INDUSTRIAL DR, SUITE 120, RIVIERA BEACH, FL 33404-3444
(561) 249-4434
(561) 557-8737

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10D2067916
CLIA
01
HZ205A
PTAN
Enumeration date
08/06/2013
Last updated
05/16/2016
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