NPI 1386205474
My Clinical Lab INC
Practice location
- Address
- 15481 SW 12th St STE 303, Sunrise, FL 33326-1993
- Phone
- (954) 530-8460
Authorised official
- Name
- Juan Mesa
- Title
- President
- Phone
- (954) 530-8460
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1386205474
- Entity type
- Organization
- NPI issued
- 28 Jun 2019
- Record last updated
- 28 Jun 2019
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.