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Contact Information

CLINICAL LABORATORY DIAGNOSTICS, LLC.
3855 EAST SILVER SPRINGS BLVD.
EXECUTIVE SUITE 105
OCALA, FL34470
 Phone: 352-622-2566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for CLINICAL LABORATORY DIAGNOSTICS, LLC.

NPI # 1811363906
LBN Legal business name CLINICAL LABORATORY DIAGNOSTICS, LLC.
Authorized official SHARON HOOK - (MEDICAL DIRECTOR / PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2015
Last updated 08/12/2015 - About 11 years ago
Identifiers
FL Medicaid 257705400
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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