Organization
ELITE LABS AND MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TECILLA R HICKS (OWNER)
(800) 501-5716
Entity
Organization
Contact information
Practice address
725 SE BAYA DR, LAKE CITY, FL 32025-6073
(800) 501-5716
(800) 501-5716
Mailing address
725 SE BAYA DR, LAKE CITY, FL 32025-6073
(800) 501-5716
(800) 501-5716
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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