Organization
FIVE STAR LABORATORY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELONIE MILLER (OWNER)
(904) 673-8416
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S STE 12, JACKSONVILLE, FL 32216-4352
(904) 673-8416
Mailing address
4131 UNIVERSITY BLVD S STE 12, JACKSONVILLE, FL 32216-4352
(904) 673-8416
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
02/24/2025
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