NPI 1841689254

Way Beyond Detox

Organisation Clinical Medical Laboratory Greenacres, FL

Practice location

Address: 6415 Lake Worth Rd 102, Greenacres, FL 33463-2910
Phone: (561) 404-5872

Authorised official

Name: Angela Iacullo
Title: Billing Director
Phone: (561) 404-5872

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Florida →

Registry record

NPI: 1841689254
Entity type: Organization
NPI issued: 22 Jan 2015
Record last updated: 22 Jan 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.