Provider Demographics
NPI:1952474231
Name:RSS LABORATORIES INC.
Entity Type:Organization
Organization Name:RSS LABORATORIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-278-9989
Mailing Address - Street 1:601 N CONGRESS AVE
Mailing Address - Street 2:SUITE 608
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4621
Mailing Address - Country:US
Mailing Address - Phone:561-278-9989
Mailing Address - Fax:561-243-1919
Practice Address - Street 1:601 N CONGRESS AVE
Practice Address - Street 2:SUITE 608
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4621
Practice Address - Country:US
Practice Address - Phone:561-278-9989
Practice Address - Fax:561-243-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL9031OtherBLUE CROSS AND BLUE SHIEL
FLE9044Medicare ID - Type Unspecified