Organization
AXIOM MOBILE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN AGGARWAL (OWNER)
(352) 213-4295
Entity
Organization
Contact information
Practice address
801 BEVILLE RD, SOUTH DAYTONA, FL 32119-1860
(352) 213-4295
Mailing address
801 BEVILLE RD, SOUTH DAYTONA, FL 32119-1860
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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