Organization · Type 2 NPI

Wanda Jean Collins Plan Administrator

Clinical Medical Laboratory · Fort Lauderdale, FL

NPI number 1063303428 Active

Practice location

5440 N State Road 7 Ste 212
Fort Lauderdale, FL 33319-2900

Call (561) 399-9371 Map

Mailing address

3686 NW 95th Ter # 4M
Sunrise, FL 33351-6463

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1063303428

Wanda Jean Collins Plan Administrator's National Provider Identifier is 1063303428, issued on Jul 14, 2025. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Sep 4, 2025.