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Contact Information

ELITE DIAGNOSTIC LABORATORIES, LLC
4111 SW 47 TH AVE
SUITE 331
DAVIE, FL33314-4026
 Phone: 954-584-8848
 Fax: 954-584-8850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for ELITE DIAGNOSTIC LABORATORIES, LLC

NPI # 1851536973
LBN Legal business name ELITE DIAGNOSTIC LABORATORIES, LLC
Authorized official ERIBERTO TORRES - (OWNER/SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2008
Last updated 01/09/2013 - About 13 years ago
Identifiers
FL License # 291U00000X
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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