Granite Diagnostic Laboratory

LBN: Granite Diagnostic Laboratories, Inc.
Granite Diagnostic Laboratory is an health care organization with primary practice located at 2150 Alt 19 Suite A, Palm Harbor FL 34683-5363. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Granite Diagnostic Laboratories, Inc. can be contacted via phone (727) 771-6343, or through Granite, Brain D via phone (727) 771-6343.

Contact Information

Primary practice address
2150 Alt 19 Suite A Palm Harbor FL 34683-5363
Phone: (727) 771-6343
Fax: (727) 771-2942
Website:
Map and Directions
Authorized official contact:
Name: Granite, Brain D
Phone: (727) 771-6343

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 800009395 Florida

Profile Details

NPI number 1770591489
LBN Legal business name Granite Diagnostic Laboratories, Inc.
DBA Doing business as Granite Diagnostic Laboratory
Authorized official Granite, Brain D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770591489 NPPES
Florida MEDICAID 030705000

Popular Providers