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Organization
5IVE STAR DIAGNOSTIC SOLUTIONS LLC
Active
Organization
5IVE STAR DIAGNOSTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI JACKSON (OWNER)
(251) 300-8331
Entity
Organization
Contact information
Practice address
1015 MONTLIMAR DR STE C5, MOBILE, AL 36609-1717
(251) 300-8331
(251) 300-8501
Mailing address
1015 MONTLIMAR DR STE C5, MOBILE, AL 36609-1717
(251) 300-8331
(251) 300-8501
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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