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NPI Code Detail

MEDICARE: US LABORATORIES

MEDICARE: US LABORATORIES
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1598182297
Entity Type Code : Organization
Provider Name (Legal Business Name) : US LABORATORIES
Provider Business Mailing Address
First Line : 3411 NW 9TH AVE
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-5946
Country : US
Telephone Number : 954-556-7441
Fax Number :
Provider Business Practice Location Address
First Line : 3411 NW 9TH AVE
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-5946
Country : US
Telephone Number : 954-556-7441
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS OPERATIONS
Name : RYAN JOHNSTON
Credential :
Telephone Number : 954-980-6754
Provider Enumeration Date : 03/20/2014
Last Update Date : 03/20/2014

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Directions to “US LABORATORIES ” Practice Location

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