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Organization

FIRST FISHER LABORATORIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY POWELL (MANAGER)
(269) 704-7563
Entity
Organization

Contact information

Practice address
11350 SW VILLAGE PKWY STE 310, PORT ST LUCIE, FL 34987-2352
(269) 704-7563
Mailing address
203 CAPITAL AVE NE, BATTLE CREEK, MI 49017-3901
(231) 704-7563

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/01/2018
Last updated
11/01/2018
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