Organization
IMMUNO LABORATORIES OF FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A ZAVIK (PRESIDENT)
(954) 691-2500
Entity
Organization
Contact information
Practice address
6801 POWERLINE RD, FT LAUDERDALE, FL 33309-2155
(954) 691-2500
(954) 691-2505
Mailing address
6801 POWERLINE RD, FT LAUDERDALE, FL 33309-2155
(954) 691-2500
(954) 691-2505
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800001454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L8393
BCBS PROVIDER NO
FL
Enumeration date
03/26/2007
Last updated
03/20/2013
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