Provider Demographics
NPI:1497146757
Name:SAF TOXICOLOGY, LLC
Entity Type:Organization
Organization Name:SAF TOXICOLOGY, LLC
Other - Org Name:ANCHOR DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-941-2001
Mailing Address - Street 1:152 NW 168 ST.
Mailing Address - Street 2:UNIT 307
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 NW 168TH ST STE 307
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-6051
Practice Address - Country:US
Practice Address - Phone:305-816-6503
Practice Address - Fax:786-837-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory