NPI 1114308863

Coalition Toxicology, LLC

Organisation Clinical Medical Laboratory Jupiter, FL

Practice location

Address: 555 Heritage Dr STE 130, Jupiter, FL 33458-5285
Phone: (561) 299-8122
Mailing address: 639 E Ocean Ave STE 205, Boynton Beach, FL 33435-5011

Authorised official

Name: Michael Brown
Title: Ceo
Phone: (561) 299-8122

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 800027320 (FL)

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Registry record

NPI: 1114308863
Entity type: Organization
NPI issued: 17 Jun 2015
Record last updated: 17 Jun 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.