Organization
SPEEDY LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIZZIE BLAND (DIRECTOR)
(414) 418-4410
Entity
Organization
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 1, MEQUON, WI 53092-3443
(262) 834-9010
Mailing address
11518 N PORT WASHINGTON RD STE 1, MEQUON, WI 53092-3443
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
11/30/2022
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