Healthcare Provider Details
I. General information
NPI: 1720923592
Provider Name (Legal Business Name): POLLUX LABORATORY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1920 E HALLANDALE BEACH BLVD STE 906A
HALLANDALE BEACH FL
33009-4733
US
IV. Provider business mailing address
1920 E HALLANDALE BEACH BLVD STE 906A
HALLANDALE BEACH FL
33009-4733
US
V. Phone/Fax
- Phone: 954-589-5060
- Fax: 954-589-5253
- Phone: 954-589-5060
- Fax: 954-589-5253
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MIHRAN
GHARIBJANYAN
Title or Position: CEO
Credential:
Phone: 954-589-5060