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Contact Information

ANGEL WINGS DIAGNOSTIC LABS LLC
4330 W BROWARD BLVD STE O
PLANTATION, FL33317-3754
 Phone: 786-521-4206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for ANGEL WINGS DIAGNOSTIC LABS LLC

NPI Number 1346902616
LBN Legal business name ANGEL WINGS DIAGNOSTIC LABS LLC
Authorized official LATRAVIA CLAYTON - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2021
Last updated 10/13/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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