PHOENIX MEDICAL LABORATORY
Medical Laboratory at Commonwealth Dr, Fort Myers, FL

License number
Florida 8000019289
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
Florida CLIA10D1023653
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
Florida 8000017185
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. ROBERT P GASPARINI
Title: PRESIDENT
Phone: (239) 768-0600
Address
Address
12701 Commonwealth Dr SUITE 6, Fort Myers, FL 33913
National Provider ID: 1841280815
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHOENIX MEDICAL LABORATORY at bizstanding.com

Phoenix Medical Laboratory, LLC

11220 Metro Pkwy, Fort Myers, FL 33966

Status:
Inactive
Registration:
Mar 2, 2004
State ID:
L04000016454
Business type:
Florida Limited Liability
Manager:
Richard Fernandez Manager, inactive

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