Organization · Type 2 NPI

Custom Crowns

Medical Laboratory Technician · Davie, FL

NPI number 1538813910 Active

Practice location

5400 S University Dr
Davie, FL 33328-5312

Call (954) 947-0641 Map

Mailing address

5202 Plunkett St
Hollywood, FL 33021-8023

Specialties and licenses

TaxonomyCodeLicense
Developmental - Behavioral Pediatrics Physician 2080P0006XNone listed
Medical Laboratory Technician Primary 246RM2200XNone listed
Clinical Laboratory Director (Non-physician) 247ZC0005XNone listed
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Infusion Therapy Clinic/Center 261QI0500XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Occupational Medicine Clinic/Center 261QX0100XNone listed
Clinical Medical Laboratory 291U00000XNone listed

Medical Laboratory Technician: Definition to come...

51 other providers at this address

About NPI 1538813910

Custom Crowns's National Provider Identifier is 1538813910, issued on Feb 4, 2022. The primary taxonomy on file is Medical Laboratory Technician (246RM2200X), and the practice location is in Davie, FL. The record was last updated on Feb 4, 2022.