MEDICARE: TECHNO-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		FL

General Provider Information

NPI Number	:	1851342893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECHNO-LAB, INC.

Provider Business Mailing Address
First Line	:	2720 SW 97TH AVE
Second Line	:	105
City	:	MIAMI
State	:	FL
Zip	:	33165-2677
Country	:	US
Telephone Number	:	305-485-0909
Fax Number	:	305-485-0207

Provider Business Practice Location Address
First Line	:	2720 SW 97TH AVE
Second Line	:	105
City	:	MIAMI
State	:	FL
Zip	:	33165-2677
Country	:	US
Telephone Number	:	305-485-0909
Fax Number	:	305-485-0207

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANA JAIMES
Credential	:
Telephone Number	:	305-485-0909

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	08/22/2020

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Directions to “TECHNO-LAB, INC. ” Practice Location

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