Provider Demographics
NPI:1144891078
Name:LAKE NONA DIAGNOSTICS LLC
Entity type:Organization
Organization Name:LAKE NONA DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STELIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDRILAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-577-7641
Mailing Address - Street 1:1701 GREEN RD STE A4
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-1074
Mailing Address - Country:US
Mailing Address - Phone:754-227-7006
Mailing Address - Fax:754-755-3430
Practice Address - Street 1:1701 GREEN RD STE A4
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1074
Practice Address - Country:US
Practice Address - Phone:754-227-7006
Practice Address - Fax:754-755-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory