Provider Demographics
NPI:1346859451
Name:SUNSHINE DIAGNOSTICS LABORATORY, LLC
Entity Type:Organization
Organization Name:SUNSHINE DIAGNOSTICS LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:T
Authorized Official - Last Name:BHINDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-267-1447
Mailing Address - Street 1:PO BOX 10868
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33419-0868
Mailing Address - Country:US
Mailing Address - Phone:561-267-1447
Mailing Address - Fax:
Practice Address - Street 1:1665 DR MARTIN LUTHER KING JR BLVD STE 12
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-7126
Practice Address - Country:US
Practice Address - Phone:561-267-1447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory