| My Lab Clinic Llc | |
|
9973 Nw 9th Ct Plantation FL 33324-1159 | |
| (704) 345-4251 | |
| Not Available |
| Full Name | My Lab Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9973 Nw 9th Ct, Plantation, Florida |
| Authorized Official Name and Position | Meirav Greenberg (OWNER) |
| Authorized Official Contact | 7043454251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Lab Clinic Llc 9973 Nw 9th Ct Plantation FL 33324-1159 Ph: (704) 345-4251 | My Lab Clinic Llc 9973 Nw 9th Ct Plantation FL 33324-1159 Ph: (704) 345-4251 |
| NPI Number | 1154004992 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 4183088156 |
|---|---|
| Medicare Enrollment ID | O20230908001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154004992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Meirav Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154800233 PECOS PAC ID: 3274870241 Enrollment ID: I20190129002139 |
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