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NPI Code Detail

MEDICARE: KENDALL MEDICAL LABORATORY, INC

MEDICARE: KENDALL MEDICAL LABORATORY, 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
1291U00000XClinical Medical LaboratoryFL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1306720OTHERFLMEDICARE OUTSIDE FLORIDA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710041991
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENDALL MEDICAL LABORATORY, INC
Provider Business Mailing Address
First Line : 2500 S DOUGLAS RD STE A
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6104
Country : US
Telephone Number : 305-442-0800
Fax Number : 305-442-0812
Provider Business Practice Location Address
First Line : 2500 S DOUGLAS RD STE A
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6104
Country : US
Telephone Number : 305-442-0800
Fax Number : 305-442-0812
Authorized Official
Title or Position : LABORATORY DIRECTOR
Name : DR. ROBERT I KENDALL
Credential : M.D.
Telephone Number : 305-442-0800
Provider Enumeration Date : 12/21/2006
Last Update Date : 08/22/2020

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Directions to “KENDALL MEDICAL LABORATORY, INC ” Practice Location

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