# C19 RAPID TESTING SOLUTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225705353
- **Authorized official:** DR. JEREMY JASON WHITE DO (ORGANIZER)
- **Authorized official phone:** (786) 351-5729

## Contact information

- **Practice address:** 200 PARK VIEW CT, LIZELLA, GA 31052-3621
- **Practice address phone:** (786) 351-5729
- **Mailing address:** 2304 HERITAGE DR, OPELIKA, AL 36804-7608
- **Mailing address phone:** (786) 351-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021