Provider Demographics
NPI:1285252601
Name:PATIENT CARE LABATORIES, INC
Entity type:Organization
Organization Name:PATIENT CARE LABATORIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-826-1454
Mailing Address - Street 1:3901 SW 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-2815
Mailing Address - Country:US
Mailing Address - Phone:954-826-1454
Mailing Address - Fax:
Practice Address - Street 1:6950 PHILIPS HWY STE 36
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6086
Practice Address - Country:US
Practice Address - Phone:954-826-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory