Phoenix Medical Laboratory
Phoenix Medical Laboratory is a Clinical Medical Laboratory in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
12701 Commonwealth Dr Ste 6Fort Myers, FL 33913-8626
Phone: (239) 768-0600
Fax: (239) 768-0711
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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 8000019289 (FL) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence CLIA10D1023653 (FL) |
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 8000017185 (FL) |
Record details
| NPI number | 1841280815 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Neogenomics, Inc |
| Authorized official | Robert Gasparini — President · (239) 768-0600 |
| Other names | Path Lab Fort Myers |
| NPI enumerated | October 21, 2005 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 12701 Commonwealth Dr, Suite 6, Fort Myers, FL 33913-8626 |
Other providers in Fort Myers
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Neogenomics Laboratories Inc
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-
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