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Organization

LOIS LABS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA ANTERNETT GRIMES NURSE (OWNER)
(904) 803-8358
Entity
Organization

Contact information

Practice address
8428 NEW KINGS RD STE 4, JACKSONVILLE, FL 32219-4603
(904) 803-8358
Mailing address
7283 NOTTINGHAMSHIRE DR, JACKSONVILLE, FL 32219-4324

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
246RP1900X
Phlebotomy Technician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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