Organization
ON THE GO LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTA N BRENSON (OWNER/PHLEBOTOMIST)
(816) 812-3092
Entity
Organization
Contact information
Practice address
1323 NW HIDDEN RIDGE CIR, BLUE SPRINGS, MO 64015-2719
(816) 812-3092
Mailing address
1323 NW HIDDEN RIDGE CIR, BLUE SPRINGS, MO 64015-2719
(816) 812-3092
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
246RP1900X
MO
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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