Provider Demographics
NPI:1831856350
Name:MINUTE LAB LLC
Entity type:Organization
Organization Name:MINUTE LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARTLEY
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:ABOUZEIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-274-9151
Mailing Address - Street 1:9716 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6228
Mailing Address - Country:US
Mailing Address - Phone:954-274-9151
Mailing Address - Fax:
Practice Address - Street 1:9716 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6228
Practice Address - Country:US
Practice Address - Phone:954-274-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory