Organization
PURETEST DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUILLE JOHNSON (MANAGER)
(850) 378-6225
Entity
Organization
Contact information
Practice address
4966 PINEVIEW RIDGE RD, MILTON, FL 32571-8030
(850) 426-8048
Mailing address
4966 PINEVIEW RIDGE RD, MILTON, FL 32571-8030
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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