Provider Demographics
NPI:1184956914
Name:SPEEDY LAB INC
Entity type:Organization
Organization Name:SPEEDY LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-526-8073
Mailing Address - Street 1:3111 WEST MLK BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:866-244-1408
Mailing Address - Fax:866-672-2373
Practice Address - Street 1:3111 W DR MLK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6235
Practice Address - Country:US
Practice Address - Phone:866-244-1408
Practice Address - Fax:866-672-2373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory