Organization
ON PONIT MOBILE CARE LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NICOLE CHRISTIAN CNA,EKG,PHLEBOTOMNTY (OWNER)
(352) 888-3107
Entity
Organization
Contact information
Practice address
1800 NW 4TH ST APT F54, GAINESVILLE, FL 32609-3669
(352) 888-3107
Mailing address
1800 NW 4TH ST APT F54, GAINESVILLE, FL 32609-3669
(352) 888-3107
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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