Excel Diagnostic Services LLC
NPI #1194729665 in St Petersburg, Florida
Provider Information
- NPI Number
- 1194729665
- Entity Type
- Organization
- Organization Name
- Excel Diagnostic Services LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jun 12, 2005
- Last Updated
- Sep 18, 2007
Practice Location
- Address
- 1109 DARLINGTON OAK DR NE
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33703-6314
- Phone
- (727) 521-0129
Authorized Official
- Name
- MR. PREM D JAGERNAUTH, RVT,RDMS,RDCS
- Title
- MANAGER
- Phone
- (727) 521-0129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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