Provider Demographics
NPI:1114312691
Name:HLS LABORATORIES LLC
Entity Type:Organization
Organization Name:HLS LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TITLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-644-7753
Mailing Address - Street 1:1976 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3705
Mailing Address - Country:US
Mailing Address - Phone:813-644-7753
Mailing Address - Fax:888-482-2405
Practice Address - Street 1:1976 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-3705
Practice Address - Country:US
Practice Address - Phone:813-644-7753
Practice Address - Fax:888-482-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory