Provider Demographics
NPI:1740475458
Name:HEALTH MEDICAL LAB INC
Entity type:Organization
Organization Name:HEALTH MEDICAL LAB INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELANDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-220-5110
Mailing Address - Street 1:10740 W FLAGLER STREET
Mailing Address - Street 2:SUITES 4-5
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-4405
Mailing Address - Country:US
Mailing Address - Phone:305-220-5110
Mailing Address - Fax:305-553-5355
Practice Address - Street 1:10740 W FLAGLER STREET
Practice Address - Street 2:SUITES 4-5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4405
Practice Address - Country:US
Practice Address - Phone:305-220-5110
Practice Address - Fax:305-553-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory