Organization
SUPREME MOBILE TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE THOMPSON LPN (OWNER)
(984) 260-5207
Entity
Organization
Contact information
Practice address
1304 COZART ST UNIT 214, DURHAM, NC 27704-6219
(984) 260-5207
Mailing address
1304 COZART ST UNIT 214, DURHAM, NC 27704-6219
(984) 260-5207
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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