Healthcare Provider Details

I. General information

NPI: 1093390486
Provider Name (Legal Business Name): ALLIANCE RAPID TESTING LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

586 NW 27TH ST STE B
MIAMI FL
33127-4128
US

IV. Provider business mailing address

5640 COLLINS AVE APT 3A
MIAMI BEACH FL
33140-2436
US

V. Phone/Fax

Practice location:
  • Phone: 646-283-5485
  • Fax:
Mailing address:
  • Phone: 646-283-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SIENNA STECKEL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 650-219-6769