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1013324664
COASTAL LABORATORY LLC
WEST PALM BEACH, FL
NPI
1013324664
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Entity Type
Organization
Authorized Contact
TOM STANLEY
Managing Member
772-361-6255
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2014-07-15
Last Update Date
2016-07-14
Business Address
COASTAL LABORATORY LLC
1509 PROSPERITY FARMS RD SUITE 101
WEST PALM BEACH, FL 33403-2025
Phone number: 772-361-6255
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Mailing Address
COASTAL LABORATORY LLC
1509 PROSPERITY FARMS RD STE 101
WEST PALM BEACH, FL 33403-2025
Phone number: 772-361-6255
Copy
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