Provider Demographics
NPI:1609251214
Name:MARBELLA OASES INC
Entity Type:Organization
Organization Name:MARBELLA OASES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELHABASHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-330-4752
Mailing Address - Street 1:2238 W ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4705
Mailing Address - Country:US
Mailing Address - Phone:561-330-4752
Mailing Address - Fax:561-660-4765
Practice Address - Street 1:2238 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4705
Practice Address - Country:US
Practice Address - Phone:561-330-4752
Practice Address - Fax:561-660-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory