Organization
TRUSTED SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRONZA LASHAE COLEMAN (OPERATION MANAGEMENT)
(434) 417-0195
Entity
Organization
Contact information
Practice address
1011 CLUSTER SPRING SCHOOL RD, SOUTH BOSTON, VA 24592
(434) 471-0195
(434) 922-2321
Mailing address
P.O. BOX 362, HALIFAX, VA 24558
(434) 471-0195
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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