Organization
MIRACLE MEDICAL TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TULLOCH (CEO)
(407) 377-5484
Entity
Organization
Contact information
Practice address
2564 US HIGHWAY 1, LAWRENCE, NJ 08648-4100
(609) 246-3956
Mailing address
2564 US HIGHWAY 1, LAWRENCE, NJ 08648-4100
(609) 246-3956
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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