Elite-Diagnostic LLC
NPI #1144049495 in Richland, Mississippi
Provider Information
- NPI Number
- 1144049495
- Entity Type
- Organization
- Organization Name
- Elite-Diagnostic LLC
- Primary Specialty
- Technician, Pathology - Phlebotomy
- Enumeration Date
- Oct 4, 2024
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 1201 HIGHWAY 49 S STE 5B
- City
- Richland
- State
- Mississippi
- ZIP Code
- 39218-9438
- Phone
- (601) 665-0360
Authorized Official
- Name
- AKIMMIE LYNN LEWIS, PHLEBOTOMIST
- Title
- DIRECTOR
- Phone
- (601) 665-0360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
| Technician, Pathology - Phlebotomy — Phlebotomy |
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