Healthcare Provider Details

I. General information

NPI: 1679213714
Provider Name (Legal Business Name): METRO LABS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

Provider Other Name: METRO LABS

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11570 Wiles Rd. 2
Coral Springs Fl
33073
US

IV. Provider business mailing address




US

V. Phone/Fax

Practice location:
  • Phone: 9048464346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SAIFULLAH BABU
Title or Position: Owner
Credential: MBA
Phone: 9048464346