MEDICARE: HEALTH SOLUTION LAB INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1053288001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SOLUTION LAB INC

Provider Business Mailing Address
First Line	:	3001 SW 10TH ST STE 238
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4814
Country	:	US
Telephone Number	:	954-944-1151
Fax Number	:	954-944-4231

Provider Business Practice Location Address
First Line	:	3001 SW 10TH ST STE 238
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4814
Country	:	US
Telephone Number	:	954-944-1151
Fax Number	:	954-944-4231

Authorized Official
Title or Position	:	OWNER
Name	:	VAL GORODISKY
Credential	:
Telephone Number	:	410-746-4763

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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