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Organization
CONCIERGE LAB LLC
Active
Organization
CONCIERGE LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEOLA MOORE REGISTERED NURSE (CEO/FOUNDER)
(601) 756-4020
Entity
Organization
Contact information
Practice address
628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
(601) 756-4020
Mailing address
628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
(601) 756-4020
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
03/01/2022
Last updated
04/12/2022
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