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NPI Code Detail

MEDICARE: OCEAN BIOSCIENCES LLC

MEDICARE: OCEAN BIOSCIENCES 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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1144819566
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN BIOSCIENCES LLC
Provider Business Mailing Address
First Line : 1369 SPRING ST NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2845
Country : US
Telephone Number : 206-238-0580
Fax Number :
Provider Business Practice Location Address
First Line : 1369 SPRING ST NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-2845
Country : US
Telephone Number : 206-238-0580
Fax Number :
Authorized Official
Title or Position : LABORATORY DIRECTOR
Name : GEORGE CHANGE
Credential : PHD
Telephone Number : 206-238-0580
Provider Enumeration Date : 01/11/2021
Last Update Date : 02/15/2021

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Directions to “OCEAN BIOSCIENCES LLC ” Practice Location

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