PGN Lab LLC

Clinical Medical Laboratory · Stuart, FL

Organization Active NPI

NPI number 1457863391

Practice location

7847 SW Ellipse Way
Stuart, FL 34997-7247
Phone
(561) 818-8054

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NPI record

NPI
1457863391
Entity type
Organization (Type 2)
Enumeration date
November 1, 2017
Last updated
November 1, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Medical Laboratory Primary 291U00000X — FL

Mailing address

4365 Hickory Dr
Palm Beach Gardens, FL 33418-3905

Authorized official

Name
Mr. Cory Brandon Hanlon
Title
Owner
Phone
(561) 818-8054

About PGN Lab LLC

PGN Lab LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Medical Laboratory (code 291U00000X). The practice location is 7847 SW Ellipse Way, Stuart, FL 34997-7247. The NPI number 1457863391 was assigned on November 1, 2017 and the record was last updated on November 1, 2017.

The authorized official for this organization is Mr. Cory Brandon Hanlon, Owner.

Frequently asked questions

What is the NPI number of PGN Lab LLC?

The NPI number is 1457863391.

What is the phone number of PGN Lab LLC?

The phone number listed for the practice location is (561) 818-8054.

Where is PGN Lab LLC located?

7847 SW Ellipse Way, Stuart, FL 34997-7247.

What is the taxonomy code for PGN Lab LLC?

The primary taxonomy code is 291U00000X – Clinical Medical Laboratory.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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