Provider Demographics
NPI:1265067839
Name:DELMAR DIAGNOSTICS LLC
Entity type:Organization
Organization Name:DELMAR DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-437-3800
Mailing Address - Street 1:1001 BRICKELL BAY DR STE 2700
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-4940
Mailing Address - Country:US
Mailing Address - Phone:855-437-3800
Mailing Address - Fax:833-228-3600
Practice Address - Street 1:1001 BRICKELL BAY DR STE 2700
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-4940
Practice Address - Country:US
Practice Address - Phone:855-437-3800
Practice Address - Fax:833-228-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty