Organization
TIDEWATER DIAGNOSTIC CONSULTANTS, LLC
Active
Other names
Tidewater Mobile Phlebotomy Service
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIDA DENISE SINGLETON (OWNER)
(877) 366-1133
Entity
Organization
Contact information
Practice address
5215 COLLEY AVE, NORFOLK, VA 23508-2166
(877) 366-1133
(757) 257-0309
Mailing address
524 NORMANDY ST, PORTSMOUTH, VA 23701-4312
(757) 589-2673
(757) 966-7954
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2135077
VA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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