Organization
ON DEMAND MOBILE LABS & SERVICES ,LLC
Active
Organization
ON DEMAND MOBILE LABS & SERVICES ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN AGUEBOR (EXECUTIVE DIRECTOR)
(800) 377-1902
Entity
Organization
Contact information
Practice address
72 DAVIS MILL CT, LAWRENCEVILLE, GA 30044-4634
(800) 377-1902
Mailing address
72 DAVIS MILL CT, LAWRENCEVILLE, GA 30044-4634
(800) 377-1902
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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