Organization
MOBILE STAT LAB SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANIKA JACKSON PBT (OWNER)
(440) 453-0347
Entity
Organization
Contact information
Practice address
135 PARK MEADOW LN APT H, ELYRIA, OH 44035-7341
(440) 453-0347
Mailing address
135 PARK MEADOW LN APT H, ELYRIA, OH 44035-7341
(440) 453-0347
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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