Provider Demographics
NPI:1811691686
Name:DEMAND DIAGNOSTICS LAB
Entity type:Organization
Organization Name:DEMAND DIAGNOSTICS LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER - CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMELLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-326-1771
Mailing Address - Street 1:7800 NW 44TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6206
Mailing Address - Country:US
Mailing Address - Phone:754-778-6380
Mailing Address - Fax:
Practice Address - Street 1:7800 NW 44TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-6206
Practice Address - Country:US
Practice Address - Phone:754-778-6380
Practice Address - Fax:754-778-7360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory