Provider Demographics
NPI:1427595354
Name:E-LAB OF FLORIDA INC.
Entity Type:Organization
Organization Name:E-LAB OF FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-435-4773
Mailing Address - Street 1:6100 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-7982
Mailing Address - Country:US
Mailing Address - Phone:954-530-8332
Mailing Address - Fax:954-533-7605
Practice Address - Street 1:6100 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-7982
Practice Address - Country:US
Practice Address - Phone:954-530-8332
Practice Address - Fax:954-533-7605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory