Organization
STICK & GO MOBILE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN LORA (PHLEBOTOMY)
(917) 318-3665
Entity
Organization
Contact information
Practice address
58 EDGEWOOD DR, CENTRAL VALLEY, NY 10917-3205
(917) 318-3665
Mailing address
58 EDGEWOOD DR, CENTRAL VALLEY, NY 10917-3205
(917) 318-3665
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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