EPIC REFERENCE LABS, INC.
Medical Laboratory at Central Industrial Dr, West Palm Beach, FL

License number
Florida 800027064
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: SRI BHARAT MADIREDDY PH.D.
Title: CEO
Phone: (561) 249-4317
Address
Address
7960 Central Industrial Dr SUITE 120, West Palm Beach, FL 33404
National Provider ID: 1952733438
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EPIC REFERENCE LABS,INC

West Palm Beach, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jan 28, 2013
Inactive since:
Oct 20, 2014
Addresses:
7960 Central Industrial Dr SUITE 120, West Palm Beach, FL 33404 (Physical)
400 S Australian Ave #800, West Palm Beach, FL 33401 (Mailing)
State ID:
P13000009268
Business type:
Florida Profit Corporation
S:
Depond, William, Dr, 7960 Central Industrial Dr, West Palm Beach, FL 33404 (Physical),Norma Villar, 7960 Central Industrial Dr, West Palm Beach, FL 33404 (Physical)
Agent:
Nrai Services, Inc,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
EIN:
46-2266700

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