| NPI | 1902422850 |
|---|---|
| Doing Business As | PRECIOUS JEWELS MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | NIKITA SHANEKA PETE Medical Officer 803-830-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-02-08 |