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Contact Information

BLUE ANGEL DIAGNOSTIC LAB LLC
2300 W SAMPLE RD STE 212
POMPANO BEACH, FL33073-3048
 Phone: 954-778-4344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for BLUE ANGEL DIAGNOSTIC LAB LLC

NPI Number 1477325108
LBN Legal business name BLUE ANGEL DIAGNOSTIC LAB LLC
Authorized official DANNA EDMOND-VOLMAR - (OWNER/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2023
Last updated 10/25/2023 - About 3 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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