Organization
1 STIKK MOBILE RICHMOND
Active
Other names
1 Stikk Moblie Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CLINTON CPT.RMA (OWNERR)
(318) 512-0170
Entity
Organization
Contact information
Practice address
1121 STAINBACK ST, APT 3201, PETERSBURG, VA 23803-3969
(318) 512-0170
Mailing address
1121 STAINBACK ST, APT 3201, PETERSBURG, VA 23803-3969
(318) 512-0170
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
12/22/2024
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