MEDICARE: C & P LABORATORIES, INC

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		FL

General Provider Information

NPI Number	:	1578650719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & P LABORATORIES, INC

Provider Business Mailing Address
First Line	:	12995 NE 7TH AVE
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4818
Country	:	US
Telephone Number	:	305-981-7666
Fax Number	:

Provider Business Practice Location Address
First Line	:	12995 NE 7TH AVE
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4818
Country	:	US
Telephone Number	:	305-981-7666
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. CHRISTOPHER K HAWLEY
Credential	:
Telephone Number	:	305-981-7666

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	08/22/2020

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