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Organization
DESTINED FOR GREATNESS
Active
Organization
DESTINED FOR GREATNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKILI TREADWAY (OWNER)
(731) 671-8273
Entity
Organization
Contact information
Practice address
274 VOLZ AVE, RIPLEY, TN 38063-2078
(731) 671-8273
Mailing address
274 VOLZ AVE, RIPLEY, TN 38063-2078
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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