Organization
SHADES OF LIFE LABS LLC
Active
Other names
Shades of Life Labs, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIONNE GIBBS RN (LAB DIRECTOR)
(757) 472-5434
Entity
Organization
Contact information
Practice address
138 S ROSEMONT RD STE 210, VIRGINIA BEACH, VA 23452-4336
(757) 431-3000
(757) 210-9481
Mailing address
138 S ROSEMONT RD STE 210, VIRGINIA BEACH, VA 23452-4336
(757) 672-3507
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
08/13/2021
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