Provider Demographics
NPI:1730820846
Name:CDR LABORATORIES INC
Entity type:Organization
Organization Name:CDR LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PAYER RELATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:O
Authorized Official - Last Name:WEILBAECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-250-2850
Mailing Address - Street 1:11740 SW 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3848
Mailing Address - Country:US
Mailing Address - Phone:833-330-1647
Mailing Address - Fax:762-200-2460
Practice Address - Street 1:10305 NW 41ST ST STE 101
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2975
Practice Address - Country:US
Practice Address - Phone:833-330-1647
Practice Address - Fax:762-200-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory