Organization
LABEXPRESS MOBILE LAB
Active
Parent organization
BRENDA GRACEFUL LIVING
Other names
Labexpress Mobile Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENDA GRACEFUL LIVING
Authorized official
STEPHANIE FOSTER (OWNER)
(901) 498-0844
Entity
Organization
Contact information
Practice address
3173 KIRBY WHITTEN RD STE 204, BARTLETT, TN 38134-2881
(901) 498-0844
(901) 205-0794
Mailing address
6451 WELLS FARMS CV, BARTLETT, TN 38135-0314
(901) 270-9497
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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