Healthcare Provider Details

I. General information

NPI: 1366370017
Provider Name (Legal Business Name): OCEAN LABRATORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14509 WALSINGHAM RD
LARGO FL
33774-3342
US

IV. Provider business mailing address

14509 WALSINGHAM RD
LARGO FL
33774-3342
US

V. Phone/Fax

Practice location:
  • Phone: 727-661-0151
  • Fax:
Mailing address:
  • Phone: 727-661-0151
  • 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: AHMED RAMADAN
Title or Position: OWNER
Credential:
Phone: 727-661-0151