NPI 1083678205

Florida Department of Health

Organisation Clinical Medical Laboratory West Palm Beach, FL

Practice location

Address: 1150 45th St Room L-200, West Palm Beach, FL 33407-2361
Phone: (561) 514-5360
Fax: (561) 514-5550
Mailing address: PO Box 29, West Palm Beach, FL 33402-0029

Authorised official

Name: Jesus Edgardo Diaz
Title: Biological Administrator III
Phone: (561) 514-5360

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 800001191 (FL)

Other Clinical Medical Laboratory providers in Florida →

Registry record

NPI: 1083678205
Entity type: Organization
NPI issued: 14 Apr 2006
Record last updated: 1 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.