NPI | 1396496352 |
---|---|
Doing Business As | LITTLE ANGEL'S CLIA LABORATORIES SERVICES |
Entity Type | Organization |
Authorized Contact | TANIKA JACKSON RICHMOND CEO 813-352-8824 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2022-01-12 |
Last Update Date | 2022-01-12 |