Organization
PRIME EXPRESS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINNETTA ASHIRAH PAUL RN (OWNER)
(877) 407-6537
Entity
Organization
Contact information
Practice address
7607 W TOWNSEND ST STE 105, MILWAUKEE, WI 53222-3965
(877) 407-6537
Mailing address
7607 W TOWNSEND ST STE 105, MILWAUKEE, WI 53222-3965
(877) 407-6537
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
06/28/2022
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