Organization
RADID RESULTS DNA LABORATORIES LLC
Active
Other names
Well Watered Place LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JIMEKA LEVELLE FITZGERALD (CEO)
(757) 800-7301
Entity
Organization
Contact information
Practice address
739 HIGH ST STE 102, PORTSMOUTH, VA 23704-3425
(757) 800-7301
Mailing address
739 HIGH ST STE 102, PORTSMOUTH, VA 23704-3425
(757) 800-7301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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