North Causeway Medical Laboratory
NPI #1184905747 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1184905747
- Entity Type
- Organization
- Organization Name
- North Causeway Medical Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 8, 2011
- Last Updated
- Sep 8, 2011
Practice Location
- Address
- 161 N CAUSEWAY
- Address 2
- SUITE D
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32169-5303
- Phone
- (386) 957-3815
Authorized Official
- Name
- DR. MARK A. KUCKER, D.O.
- Title
- LAB DIRECTOR
- Phone
- (386) 957-3815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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