GRANITE DIAGNOSTIC LABORATORIES, INC.
Medical Laboratory at Alt 19, Palm Harbor, FL

License number
Florida 800009395
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. BRAIN D GRANITE
Title: OWNER
Phone: (727) 771-6343
Address
Address
2150 Alt 19 SUITE A, Palm Harbor, FL 34683
National Provider ID: 1770591489
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Granite Diagnostic Laboratories

Palm Harbor, FL

Industry:
Diagnostic Laboratories
Doing business as:
Granite Diagnostic Laboratories, Inc
Registration:
Apr 26, 1999
Phone:
(727) 771-6343 (Phone)
Addresses:
2150 Alternate 19, Palm Harbor, FL 34683
36326 Us Hwy 19 N, Palm Harbor, FL 34684
State ID:
P99000037507
Business type:
Domestic for Profit Corporation
Secretary, Vice-President, Directors:
Richard Granite (President, Director),Brian Granite Secretary, Vice-President, Director, inactive
Agent:
William L. Vinson

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