Orange Grove Labs LLC

NPI #1376912642 in Lake Park, Florida

Provider Information

NPI Number
1376912642
Entity Type
Organization
Organization Name
Orange Grove Labs LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 17, 2015
Last Updated
Dec 29, 2016

Practice Location

Address
1325 S KILLIAN DR
Address 2
UNIT 3A
State
Florida
ZIP Code
33403-1965
Phone
(561) 567-0063

Authorized Official

Name
MR. LOUIS DEVALEIX
Title
MANAGING MEMBER
Phone
(561) 567-0063

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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