Provider Demographics
NPI:1922607886
Name:EMED LABS LLC
Entity Type:Organization
Organization Name:EMED LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-994-9480
Mailing Address - Street 1:990 BISCAYNE BLVD STE 1501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1559
Mailing Address - Country:US
Mailing Address - Phone:312-994-9480
Mailing Address - Fax:
Practice Address - Street 1:990 BISCAYNE BLVD STE 1501
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1559
Practice Address - Country:US
Practice Address - Phone:312-994-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory