Clg Diagnostics. LLC
NPI #1588163505 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1588163505
- Entity Type
- Organization
- Organization Name
- Clg Diagnostics. LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 5, 2018
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 11350 SW VILLAGE PKWY STE 307
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34987-2352
- Phone
- (603) 328-8633
Authorized Official
- Name
- MRS. LISA PERRY
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (603) 328-8633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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