Organization
ELITE-DIAGNOSTIC LLC
Active
Other names
Elite-Diagnostic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AKIMMIE LYNN LEWIS PHLEBOTOMIST (DIRECTOR)
(601) 665-0360
Entity
Organization
Contact information
Practice address
1201 HIGHWAY 49 S STE 5B, RICHLAND, MS 39218-9438
(601) 665-0360
Mailing address
1201 HIGHWAY 49 S STE 5B, RICHLAND, MS 39218-9438
(601) 665-0360
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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