Organization
A.C.T KWIK LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DANIELS RN (OWNER)
(205) 500-0177
Entity
Organization
Contact information
Practice address
11321 RAYNOR RD, SMITHFIELD, VA 23430-7856
(205) 500-0177
(888) 758-4442
Mailing address
11321 RAYNOR RD, SMITHFIELD, VA 23430-7856
(205) 500-0177
(888) 758-4442
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/22/2021
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