Organization · Type 2 NPI

Jack A Ross

Clinical Medical Laboratory · Cocoa, FL

NPI number 1760669279 Active

Practice location

770 Cidco Rd
Cocoa, FL 32926-5814

Fax (321) 636-0240

Mailing address

PO Box 560977
Rockledge, FL 32956-0977

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X800022292 (FL)

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 1760669279

Jack A Ross's National Provider Identifier is 1760669279, issued on Jan 28, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Cocoa, FL. The record was last updated on May 5, 2008.