Organization
ESSENCE OF TRUTH CLINICAL LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRINA KINGSBY RN (LAB DIRECTOR)
(414) 405-9002
Entity
Organization
Contact information
Practice address
4911 W GOOD HOPE RD STE D, MILWAUKEE, WI 53223-4840
(414) 405-9002
Mailing address
7034 N 55TH ST APT C, MILWAUKEE, WI 53223-6336
(414) 405-9002
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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