National Laboratory Group LLC

NPI #1093177420 in Ft Lauderdale, Florida

Provider Information

NPI Number
1093177420
Entity Type
Organization
Organization Name
National Laboratory Group LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Mar 24, 2016
Last Updated
Mar 24, 2016

Practice Location

Address
6831 NW 20TH AVE STE 104
State
Florida
ZIP Code
33309-1505
Phone
(561) 302-9186

Authorized Official

Name
JEFFREY ALAN DISINGER
Title
PRESIDENT
Phone
(561) 302-9186

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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