SRCONQUEST
Medical Laboratory at 94 Ave, Pompano Beach, FL

License number
Florida C5Q7D6S2
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. DWAYNE COOMBS
Title: CEO
Phone: (954) 805-4480
Address
Address
3255 NW 94Th Ave #8736, Pompano Beach, FL 33075
National Provider ID: 1508241936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SRCONQUEST at bizstanding.com

SRCONQUEST CORP

Pompano Beach, FL

Industry:
Nonclassifiable Establishments
Registration:
Feb 21, 2012
Addresses:
3255 NW 94 Ave #8736, Pompano Beach, FL 33075 (Physical)
PO Box 773064, Pompano Beach, FL 33077
8915 Ramblewood Dr, Pompano Beach, FL 33071
State ID:
P12000017640
Business type:
Florida Profit Corporation
President, Secretarys:
Sandra Romeo (CEO, Chairman), 4317 Coral Spg Dr, Pompano Beach, FL 33065 (Physical),Dwayne E Coombs (President, Secretary), 7872 NW 12, Fort Lauderdale, FL 33322 (Physical)
Agent:
Romeo, Sandra,4317 Coral Spg Dr, Pompano Beach, FL 33065 (Physical)
EIN:
37-1665151

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