Healthcare Provider Details

I. General information

NPI: 1932011285
Provider Name (Legal Business Name): VERIGENE LAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NW 183RD ST STE 206
MIAMI GARDENS FL
33169-4553
US

IV. Provider business mailing address

99 NW 183RD ST STE 206
MIAMI GARDENS FL
33169-4553
US

V. Phone/Fax

Practice location:
  • Phone: 786-334-2010
  • Fax:
Mailing address:
  • Phone: 786-334-2010
  • 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: INNA BROGAN
Title or Position: OWNER
Credential:
Phone: 786-334-2010