Provider Demographics
NPI:1508594235
Name:US MOLECULAR LABORATORIES INC
Entity Type:Organization
Organization Name:US MOLECULAR LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:WEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-375-8599
Mailing Address - Street 1:195 WEKIVA SPRINGS RD STE 151
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6089
Mailing Address - Country:US
Mailing Address - Phone:407-459-8845
Mailing Address - Fax:
Practice Address - Street 1:195 WEKIVA SPRINGS RD STE 151
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6089
Practice Address - Country:US
Practice Address - Phone:407-459-8845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory