MEDICARE: EZLAB 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	:	1790066009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZLAB LLC

Provider Business Mailing Address
First Line	:	2901 SW 149TH AVE
Second Line	:	SUITE 400
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4151
Country	:	US
Telephone Number	:	954-874-4615
Fax Number	:	954-874-3376

Provider Business Practice Location Address
First Line	:	2901 SW 149TH AVE
Second Line	:	SUITE 400
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4151
Country	:	US
Telephone Number	:	954-874-4615
Fax Number	:	954-874-3376

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL ZIMMERMAN
Credential	:	MD
Telephone Number	:	954-874-4615

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	08/31/2011

Similar Medicare Providers

1174825889 — INJURY RX LLC
Practice Location Address:

2901 SW 149TH AVE , SUITE 400
MIRAMAR, FL
33027-4151

Practice Phone: 954-874-4615
Practice Fax: 954-874-3376

1164569992 — DURABLE MEDICAL,LLC
Practice Location Address:

2901 SW 149TH AVE , SUITE 140
MIRAMAR, FL
33027-4151

Practice Phone: 954-874-4615
Practice Fax: 954-874-3376

1710217278 — WECARE HEALTH PLANS, INC.
Practice Location Address:

2901 SW 149TH AVE , SUITE 170
MIRAMAR, FL
33027-4151

Practice Phone: 954-442-7781
Practice Fax:

1700168788 — INJURY MED EXPRESS PHARMACY, LLC
Practice Location Address:

2901 SW 149TH AVE , SUITE 400
MIRAMAR, FL
33027-4151

Practice Phone: 954-874-4615
Practice Fax: 954-874-3376

1063814341 — BTW MED, LLC
Practice Location Address:

2901 SW 149TH AVE , SUITE 400
MIRAMAR, FL
33027-4151

Practice Phone: 954-874-4617
Practice Fax: 954-239-3902

1871996942 — MR. GERALD GILBERT GLASS PA
Practice Location Address:

2901 SW 149TH AVE , SUITE 400
MIRAMAR, FL
33027-4151

Practice Phone: 954-874-4603
Practice Fax: 954-874-3261

Directions to “EZLAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.