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1154786051
IBIS LABORATORY LLC
PORT ST LUCIE, FL
NPI
1154786051
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Entity Type
Organization
Authorized Contact
JOHN J ACHINAPURA
COO
561-588-8323
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
IBIS LABORATORY LLC
11350 SW VILLAGE PKWY
PORT ST LUCIE, FL 34987-2352
Phone number: 561-588-8323
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Mailing Address
IBIS LABORATORY LLC
806 LANTANA RD
LANTANA, FL 33462-1509
Phone number: 561-588-8323
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