Sunrise Clinical Laboratory
NPI #1447244959 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1447244959
- Entity Type
- Organization
- Organization Name
- Sunrise Clinical Laboratory
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Oct 22, 2007
Practice Location
- Address
- 21216 OLEAN BLVD
- Address 2
- 3
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-6722
- Phone
- (941) 624-3005
Authorized Official
- Name
- MR. MIFTAH KEMAL, M.S.
- Title
- OWNER
- Phone
- (941) 624-3005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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