10D2234438 CLIA NUMBER - NURSE PRACTITIONER ON DEMAND LLC

Laboratory Demographics

CLIA Number: 10D2234438

Facility Name: NURSE PRACTITIONER ON DEMAND LLC

Facility Address:
4850 N STATE ROAD 7, SUITE G-106
LAUDERDALE LAKES, FL
ZIP 33319
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Facility Phone Number: (954) 533-1403

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1972128379

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2234438
LAB Type	OTHER PRACTITIONER
Facility Name	NURSE PRACTITIONER ON DEMAND LLC
Street	4850 N STATE ROAD 7, SUITE G-106
City	LAUDERDALE LAKES
State	FL
ZIP	33319
Phone	(954) 533-1403

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This page was last updated on: 5/11/2023