| NPI | 1700555018 | 
|---|---|
| Doing Business As | KINGDOM MOBILE LAB SERVICES LLC | 
| Entity Type | Organization | 
| Authorized Contact | KEESHA M MCCLOUD Owner 678-368-2745 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy | 
| Enumeration Date | 2021-09-09 | 
| Last Update Date | 2021-09-09 |