Florida Lab Source
Florida Lab Source is a Clinical Medical Laboratory in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
Practice location Address checks out
11350 SW Village PkwyPort St Lucie, FL 34987-2352
Phone: (561) 309-0134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 800027325 (FL) |
|---|
Record details
| NPI number | 1912371089 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mike Cirillo — President · (561) 309-0134 |
| NPI enumerated | November 30, 2015 |
| Last updated in NPPES | November 30, 2015 |
| Mailing address | 13805 Folkstone Cir, Wellington, FL 33414-7704 |
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