MEDICARE: A.N.S. LABORATORIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1043649783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A.N.S. LABORATORIES, LLC

Provider Business Mailing Address
First Line	:	1010 ALMERIA RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1497 FOREST HILL BLVD STE A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6052
Country	:	US
Telephone Number	:	215-499-5619
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOSHE DUNOFF
Credential	:
Telephone Number	:	215-499-5619

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	11/04/2013

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