Organization
ELITE BIOMEDICAL LAB SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJILLIAN WILLIAMS BS,MT (PRESIDENT)
(386) 965-0313
Entity
Organization
Contact information
Practice address
15202 NW 147TH DR STE 600, ALACHUA, FL 32615-5333
(386) 588-3230
(888) 480-7977
Mailing address
15202 NW 147TH DR STE 600, ALACHUA, FL 32615-5333
(386) 588-3230
(888) 480-7977
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2166575
CLIA
FL
Enumeration date
07/20/2021
Last updated
07/20/2021
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