| NPI | 1144897133 |
|---|---|
| Doing Business As | SHADES OF LIFE LABS, LLC |
| Entity Type | Organization |
| Authorized Contact | DIONNE GIBBS Lab Director 757-472-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-08-13 |