MEDICAL ARTS LABORATORY OF NEW SMYRNA BEACH INC
Medical Laboratory at Cswy, New Smyrna, FL

License number
Florida 800000003
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. DOUGLAS GLENN BENTLEY I MT
Title: OWNER PRESIDENT
Phone: (386) 428-5745
Address
Address
257 Causeway N, New Smyrna, FL 32169
National Provider ID: 1861605396
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Medical Arts Laboratory of New Smyrna Beach, Inc

257 N Cswy, New Smyrna, FL 32169

Status:
Inactive
Registration:
Feb 28, 2002
State ID:
P02000024241
Business type:
Domestic for Profit Corporation
Director, Vice Presidents:
Douglas G. Bentley President, Director, inactive,Jacqueline M. Bentley Director, Vice President, inactive

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