Organization · Type 2 NPI

Cotg 2021

Clinical Medical Laboratory · Melbourne, FL

NPI number 1396326807 Active

Practice location

1385 Cypress Ave Unit 104
Melbourne, FL 32935-5919

Call (321) 327-7481 Map

Fax (888) 453-1715

Mailing address

1220 Prospect Ave Ste 294
Melbourne, FL 32901-7300

Other practice locations

  • 1220 Prospect Ave Ste 294, Melbourne, FL 32901-7300 · (772) 300-6531

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Occupational Medicine Clinic/Center 261QX0100XNone listed
Clinical Medical Laboratory Primary 291U00000XNone 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 1396326807

Cotg 2021's National Provider Identifier is 1396326807, issued on Apr 16, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Melbourne, FL. The record was last updated on Jan 9, 2024.