Organization
DAKOTA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TA'SHEIKA JACKSON CMA, CPT, MT, IV TEC (CEO)
(866) 332-5682
Entity
Organization
Contact information
Practice address
226 S MARION AVE, LAKE CITY, FL 32025-7058
(866) 332-5682
(866) 332-5682
Mailing address
250 NW MAIN BLVD STE 12, LAKE CITY, FL 32055-3380
(866) 332-5682
(866) 332-5682
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
09/04/2025
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