Organization
TPA MOBILE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY ANNALIESA FOWLER (OWNER)
(813) 284-8563
Entity
Organization
Contact information
Practice address
19046 BRUCE B DOWNS BLVD STE B6, STE B6 #900, TAMPA, FL 33647-2434
(813) 360-1407
Mailing address
19046 BRUCE B DOWNS BLVD STE B6, STE B6 #900, TAMPA, FL 33647-2434
(813) 360-1407
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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