Organization
BLOOD DIAMOND MOBILE LABORATORY LLC
Active
Other names
Blood Diamond Mobile Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANN A DOOLING CPT, CCMA, CMA, CNA (OWNER/ PHLEBOTOMIST)
(770) 875-3947
Entity
Organization
Contact information
Practice address
1212 RIVER RUSH LN NE, CONYERS, GA 30012-6613
(770) 875-3947
Mailing address
889 COMMERCE DR SW STE C, CONYERS, GA 30094-6624
(770) 762-6019
(770) 790-0050
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/10/2024
Last updated
08/23/2024
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