Healthcare Provider Details

I. General information

NPI: 1710259023
Provider Name (Legal Business Name): US MED LAB, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2012
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 NW 27TH ST STE 502
DORAL FL
33122-1905
US

IV. Provider business mailing address

8280 NW 27TH ST STE 502
DORAL FL
33122-1905
US

V. Phone/Fax

Practice location:
  • Phone: 305-592-8353
  • Fax: 305-436-1137
Mailing address:
  • Phone: 305-592-8353
  • Fax: 305-436-1137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ZACHARY SCHIFFMAN
Title or Position: PRESIDENT
Credential:
Phone: 305-592-8353