10D2069740 CLIA NUMBER - DR JOSE NODARSE LLC

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Laboratory Demographics

CLIA Number: 10D2069740

Facility Name: DR JOSE NODARSE LLC

Facility Address:
1495 FOREST HILL BLVD STE D
WEST PALM BEACH, FL
ZIP 33406
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Facility Phone Number: 561 300-2410

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235705864

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	10D2069740
LAB Type	Physician Office
Facility Name	DR JOSE NODARSE LLC
Street	1495 FOREST HILL BLVD STE D
City	WEST PALM BEACH
State	FL
ZIP	33406
Phone	561 300-2410
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024