Organization
PRODIGY MOBILE LAB & NURSING CONCIERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA LYNN JOHNSON REGISTERED NURSE (OWNER)
(865) 256-6307
Entity
Organization
Contact information
Practice address
2305 ADAMS AVE, KNOXVILLE, TN 37917-6908
(865) 256-6307
Mailing address
2305 ADAMS AVE, KNOXVILLE, TN 37917-6908
(865) 256-6307
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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