INDEPENDENT CLINICAL LABORATORIES INC
Medical Laboratory at Cherry Palm Dr, Tampa, FL

License number
Florida 800001312
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. RON HANKINS
Title: CEO
Phone: (813) 932-0374
Address
Address
3110 Cherry Palm Dr SUITE 340, Tampa, FL 33619
National Provider ID: 1285707943
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INDEPENDENT CLINICAL LABORATORIES, INC

6515 N Armenia Ave, Tampa, FL 33604

Status:
Inactive
Industry:
Medical Laboratory Medical Doctor's Office
Doing business as:
Tampa Pathology Laboratory
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Nov 14, 1969
Inactive since:
Sep 9, 1991
Phone:
(813) 932-0374 (Phone), (813) 931-0658 (Fax)
State ID:
601674
Business type:
Florida Profit Corporation
Human Resources Director/admin Assistants:
Jose V Suarezhoyos (President, Director), 6515 N Armenia Ave, Tampa, FL (Physical),Ana Echeverri (Human Resources Director/admin Assistant)
Agent:
Jose Suarezhoyos,6515 N Armenia Ave, Tampa, FL 33604 (Physical)
EIN:
59-1634406

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