Organization
TLC FROM THE HEART MOBILE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYLAENA SANCHEZ (CEO)
(352) 617-3840
Entity
Organization
Contact information
Practice address
801 TALLADEGA ST, LEESBURG, FL 34748-2799
(352) 617-3840
Mailing address
801 TALLADEGA ST, LEESBURG, FL 34748-2799
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699424689
—
FL
Enumeration date
08/24/2022
Last updated
11/17/2022
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