| NPI | 1821604505 |
|---|---|
| Doing Business As | ELITE PROLAB MOBILE SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHALONDA RENEE JOHNSON Owner 832-427-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-12-09 |