Whalio Doctors

NPI 1518145259

Premiere Medical Laboratories P a

Organisation Clinical Medical Laboratory Leesburg, FL

Practice location

Address
913 E North Blvd, Leesburg, FL 34748-5364
Phone
(352) 787-6733
Fax
(352) 787-9228
Mailing address
PO Box 499100, Leesburg, FL 34749-9100

Authorised official

Name
Susan Mary Rendon
Title
President
Phone
(352) 787-6733

Registered specialties

Clinical Medical Laboratory Primary
Laboratories Taxonomy 291U00000X Licence APPLIED FOR (FL)

Registry record

NPI
1518145259
Entity type
Organization
NPI issued
5 Feb 2008
Record last updated
4 Dec 2008

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.