PHYSICIANS STAT LAB INC.
Medical Laboratory at Water St, New Port Richey, FL

License number
Florida L800011974
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: RICHARD EARL ADAMS
Title: PRESIDENT
Phone: (727) 817-1102
Address
Address
5427 Water St, New Port Richey, FL 34652
National Provider ID: 1467464917
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS STAT LAB, INC

5427 Water St, New Port Richey, FL 34652

Status:
Inactive
Doing business as:
Physicians Stat Laboratory Inc
Inactive reason:
AMENDMENT
Registration:
Mar 17, 1997
Inactive since:
Feb 14, 2011
Phone:
(727) 817-1102 (Phone)
State ID:
P97000025085
Business type:
Florida Profit Corporation
Secretarys:
Richard E Adams (President), 5427 Water St, New Port Richey, FL 34652 (Physical),Stephanie J Adams (Secretary), 5427 Water St, New Port Richey, FL 34652 (Physical),Gene Warner (President),...
Agent:
Richard Adams,5427 Water St, New Port Richey, FL 34652 (Physical)
EIN:
59-3431021

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