Organization
FULL SERVICE MOBILE LAB CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA ELIZABETH JONES CPT (OWNER)
(619) 404-7641
Entity
Organization
Contact information
Practice address
3485 RUFFIN RD APT 1N, SAN DIEGO, CA 92123-2520
(619) 404-7641
Mailing address
3485 RUFFIN RD APT 1N, SAN DIEGO, CA 92123-2520
(619) 404-7641
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
10/05/2022
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