Provider Demographics
NPI:1497402846
Name:REALIABLE RESULTS
Entity Type:Organization
Organization Name:REALIABLE RESULTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-498-2298
Mailing Address - Street 1:1001 NW 62ND ST STE 302Q
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1950
Mailing Address - Country:US
Mailing Address - Phone:305-498-2298
Mailing Address - Fax:
Practice Address - Street 1:1001 NW 62ND ST STE 302Q
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1950
Practice Address - Country:US
Practice Address - Phone:305-498-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory