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Contact Information

CRESTAR LABS FL LLC
4714 AYRON TERRACE
PALM HARBOR, FL34685
 Phone: 727-418-2567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CRESTAR LABS FL LLC

NPI # 1366965063
LBN Legal business name CRESTAR LABS FL LLC
Authorized official STEPHEN LOMONICO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
FL License # 800027923
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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