Organization
TOTAL LAB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIGLA DVALISHVILI (OWNER)
(888) 472-7049
Entity
Organization
Contact information
Practice address
439 NORTH ST STE D, GREEN COVE SPRINGS, FL 32043-2937
(888) 472-7049
Mailing address
439 NORTH ST STE D, GREEN COVE SPRINGS, FL 32043-2937
(888) 472-7049
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
09/12/2025
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