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Organization
LEVERAGE LABS LLC
Active
Organization
LEVERAGE LABS LLC
Active
Other names
Leverage Labs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WHITNEY SHANEE' FEDRICK CPT (OWNER)
(470) 772-1848
Entity
Organization
Contact information
Practice address
2330 SCENIC HWY S STE 225, SNELLVILLE, GA 30078-3115
(470) 772-1848
Mailing address
2330 SCENIC HWY S STE 225, SNELLVILLE, GA 30078-3115
(470) 772-1848
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
NULL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
NULL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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