Provider Demographics
NPI:1285039990
Name:SERENE LABORATORIES, LLC.
Entity Type:Organization
Organization Name:SERENE LABORATORIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-478-2235
Mailing Address - Street 1:6742 FOREST HILL BLVD
Mailing Address - Street 2:UNIT # 259
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3321
Mailing Address - Country:US
Mailing Address - Phone:561-766-1158
Mailing Address - Fax:561-766-1196
Practice Address - Street 1:1860 OLD OKEECHOBEE RD
Practice Address - Street 2:SUITE # 402
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5253
Practice Address - Country:US
Practice Address - Phone:561-766-1158
Practice Address - Fax:561-766-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory