Organization
LENISES LAB SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI HOLMES CPT (PHLEBOTOMIST)
(424) 312-3078
Entity
Organization
Contact information
Practice address
438 E SPRUCE AVE, INGLEWOOD, CA 90301-6379
(424) 312-3078
Mailing address
438 E SPRUCE AVE UNIT 143, INGLEWOOD, CA 90301-6374
(424) 312-3078
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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