PORTABLE MEDICAL DIAGNOSTICS, INC
Medical Laboratory at Belvedere Rd, West Palm Beach, FL

License number
Florida HCC4152
Category
Medical Laboratory
Type
Physiological Laboratory
Owner
Name: MR. ANDREW ROSEBROUGH BSA
Title: VP, CFO
Phone: (561) 964-3311
Address
Address
8080 Belvedere Rd STE 6, West Palm Beach, FL 33411
National Provider ID: 1891125936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Portable Medical Diagnostics

West Palm Beach, FL

Industry:
Medical Laboratory
Doing business as:
Portable Medical Diagnostics, Inc
Inactive reason:
REINSTATEMENT
Registration:
Jun 22, 1989
Inactive since:
Oct 8, 2013
Phone:
(561) 964-7984 (Phone)
Addresses:
2677 Frst Hl Blvd #106, West Palm Beach, FL 33406
8080 Belvedere Rd, West Palm Beach, FL 33411
8140 Belvedere Rd, West Palm Beach, FL 33411
State ID:
K97703
Business type:
Florida Profit Corporation
Treasurers:
Dennis F. Rosebrough (President, Secretary, Director),Andrew C. Rosebrough (Vice President),Henry Fischer Treasurer, inactive
Agent:
Dennis Rosebrough,8080 Belvedere Rd SUITE 6, West Palm Beach, FL 33411 (Physical)
EIN:
65-0134197

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