| NPI | 1083437271 |
|---|---|
| Former Legal Business Name | SHAWNA'S MOBILE LAB NINJA'S LLC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA KNOWLES Owner 239-355-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-12-28 |