Healthcare Provider Details

I. General information

NPI: 1285575258
Provider Name (Legal Business Name): LIFELAB MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3785 N FEDERAL HWY
BOCA RATON FL
33431-5935
US

IV. Provider business mailing address

3785 N FEDERAL HWY
BOCA RATON FL
33431-5935
US

V. Phone/Fax

Practice location:
  • Phone: 561-774-7664
  • Fax:
Mailing address:
  • Phone: 561-774-7664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: RANJIT DHELARIA
Title or Position: DR
Credential: MD
Phone: 561-774-7664