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Organization

SLB DIAGNOSTIC SOLUTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANISHA SHUANTE RILES (CEO)
(912) 501-4094
Entity
Organization

Contact information

Practice address
702 VAN STREAT HWY, NICHOLLS, GA 31554-4017
(912) 501-4094
(708) 367-6703
Mailing address
702 VAN STREAT HWY, NICHOLLS, GA 31554-4017
(912) 501-4094
(708) 367-6703

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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