Organization
GEAUX MAJOR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHEDAKA SANDERS (OWNER)
(318) 458-9716
Entity
Organization
Contact information
Practice address
6961 RED ROBIN DR, JACKSONVILLE, FL 32210-3668
(318) 458-9716
Mailing address
6961 RED ROBIN DR, JACKSONVILLE, FL 32210-3668
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578152245
NPI
FL
Enumeration date
03/17/2021
Last updated
05/28/2021
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