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General NPI Number Information
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NPI Number | 1982604070
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Entity Type | Organization
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Legal Business Name | CRONOS CLINICAL LABORATORY
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 2650 NW 97TH AVE
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City | DORAL
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State | FL
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Zip | 33172-1400
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Country | US
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Telephone | 305-592-2503
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Fax | 305-592-2663
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Provider Business Mailing Address
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Address Line | 2650 NW 97TH AVE
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City | DORAL
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State | FL
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Zip | 33172-1400
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Country | US
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Telephone | 305-592-2503
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAIKEL GONZALEZ
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Credential |
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Telephone | 305-592-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800019596
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License Number State | FL
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