NPI | 1821781063 |
---|---|
Other Name | 1 STIKK MOBLIE LABORATORY LLC |
Entity Type | Organization |
Authorized Contact | TIFFANY CLINTON Ownerr 318-512-0170 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2023-06-01 |
Last Update Date | 2024-12-22 |