NPI 1154474245

Diagnostic Clinic Medical Group INC.

Organisation Clinical Medical Laboratory Largo, FL

Practice location

Address: 1301 2nd Ave SW, Largo, FL 33770-3120
Phone: (727) 581-8767
Fax: (727) 581-8507

Authorised official

Name: Gina M Prebeck
Title: Vp of Operations
Phone: (727) 581-8767

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 10D2079095 (FL)

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Registry record

NPI: 1154474245
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 25 Nov 2020

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.