Progressive Medical Lab, Llc

NPI 1225432867 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1225432867
Enumeration Date 10/10/2014
Last Updated 10/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MAYADA MAYADA
Position MGR
Phone (386) 271-2273
Fax (386) 845-0221
Practice Location
1690 DUNLAWTON AVE
SUITE 120
PORT ORANGE FL, 32127-8979, US
Phone (386) 271-2273
Fax (386) 845-0221
Business Location
345 BEVILLE RD
SUITE 101
SOUTH DAYTONA FL, 32119-2165, US
Phone
Fax
Toxanomy
Taxonomy Code 291U00000X
License State Florida
License Number 800027387
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According to our database, Progressive Medical Lab, Llc NPI is 1225432867, taxonomy code is 291U00000X and license number is 800027387, license state is located at Florida. Progressive Medical Lab, Llc physically located at 1690 Dunlawton Ave, Port Orange FL, 32127-8979. NPI Number 1033115704 has the healthcare provider type.

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1225432867 NPI number is provided on an as is basis without warranty of any kind. 1225432867 is maintained by the National Plan & Provider Enumeration System. The contents of Progressive Medical Lab, Llc are for informational purposes only.