Organization
VEEDHATA OM LLC
Active
Other names
PRIME DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
RACHANA PATEL (CEO)
(917) 272-3468
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR STE D, LAKE CITY, FL 32055-4833
(229) 262-7777
Mailing address
3386 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 262-7777
(229) 262-7714
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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