Organization
MAGGIES LAB CAB, LLC
Active
Other names
Maggie's Lab Cab
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA KAY KYER CERTIFIED NP (MEDICAL DIRECTOR)
(928) 230-5789
Entity
Organization
Contact information
Practice address
60 ACOMA BLVD S STE A100, LAKE HAVASU CITY, AZ 86403-5998
(928) 486-3989
Mailing address
60 ACOMA BLVD S STE A100, LAKE HAVASU CITY, AZ 86403-5998
(928) 486-3989
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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