Organization
MILLER LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JIMENEZ DO (OWNER)
(209) 616-8409
Entity
Organization
Contact information
Practice address
306 E MAIN ST STE 202, STOCKTON, CA 95202-2908
(209) 616-8409
(209) 266-3694
Mailing address
306 E MAIN ST STE 202, STOCKTON, CA 95202-2908
(209) 616-8409
(209) 266-3694
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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