NORTH CAUSEWAY MEDICAL LABORATORY
Medical Laboratory at Cswy, New Smyrna, FL

License number
Florida 800026144
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. MARK A. KUCKER D.O.
Title: LAB DIRECTOR
Phone: (386) 957-3815
Address
Address
161 Causeway N SUITE D, New Smyrna, FL 32169
National Provider ID: 1184905747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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North Causeway Medical Laboratory, LLC

161 N Cswy, New Smyrna, FL 32169

Registration:
Nov 8, 2010
State ID:
L10000116147
Business type:
Florida Limited Liability
Managing Members:
John Yee (Managing Member),Staci Appleton (Managing Member),Wing Y. Liu (Managing Member),...

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