Organization
KINGDOM MOBILE LAB SERVICES LLC
Active
Other names
Kingdom Mobile Lab Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEESHA M MCCLOUD (OWNER)
(678) 368-2745
Entity
Organization
Contact information
Practice address
7674 MOUNTAIN CREEK WAY, DOUGLASVILLE, GA 30134-3783
(678) 368-2745
(678) 306-5637
Mailing address
7674 MOUNTAIN CREEK WAY, DOUGLASVILLE, GA 30134-3783
(678) 368-2745
(678) 306-5637
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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