NPI 1093177420

National Laboratory Group LLC

Organisation Clinical Medical Laboratory Ft Lauderdale, FL

Practice location

Address: 6831 NW 20th Ave STE 104, Ft Lauderdale, FL 33309-1505
Phone: (561) 302-9186

Authorised official

Name: Jeffrey Alan Disinger
Title: President
Phone: (561) 302-9186

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 800028061 (FL)

Other Clinical Medical Laboratory providers in Florida →

Registry record

NPI: 1093177420
Entity type: Organization
NPI issued: 24 Mar 2016
Record last updated: 24 Mar 2016

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.