Provider Demographics
NPI:1457126500
Name:BUTTERFLY MED LAB LLC
Entity Type:Organization
Organization Name:BUTTERFLY MED LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:YAIMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAJIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:LAB TECH
Authorized Official - Phone:954-892-0759
Mailing Address - Street 1:25941 S DIXIE HWY APT 722
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5572
Mailing Address - Country:US
Mailing Address - Phone:954-892-0759
Mailing Address - Fax:786-404-3864
Practice Address - Street 1:13255 SW 137TH AVE STE 214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5328
Practice Address - Country:US
Practice Address - Phone:954-892-0759
Practice Address - Fax:786-404-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory