Organization
QUEOLOGY EXPRESS LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUISHA L JOHNSON (ADMINISTRATOR/ OWNER)
(352) 256-6789
Entity
Organization
Contact information
Practice address
414 SW 140TH TER, NEWBERRY, FL 32669-3363
(352) 256-6789
Mailing address
14260 W NEWBERRY RD # 204, NEWBERRY, FL 32669-2765
(352) 256-6789
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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