Clean Slate Living

LBN: Clean Slate Living
Clean Slate Living is an health care organization with primary practice located at 118 Canoe Dr , West Palm Beach FL 33415-2602. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Clean Slate Living can be contacted via phone (561) 270-2361, or through Iacullo, Angela via phone (561) 270-2361.

Contact Information

Primary practice address
118 Canoe Dr West Palm Beach FL 33415-2602
Phone: (561) 270-2361
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iacullo, Angela
Phone: (561) 270-2361

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 10D2063192 Florida

Profile Details

NPI number 1265860522
LBN Legal business name Clean Slate Living
DBA Doing business as
Authorized official Iacullo, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2013
Last updated Oct 24th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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