On Demand Diagnostics LLC

NPI #1689284986 in Ridgeland, Mississippi

Provider Information

NPI Number: 1689284986
Entity Type: Organization
Organization Name: On Demand Diagnostics LLC
Primary Specialty: Technician, Other
Enumeration Date: Aug 3, 2020
Last Updated: Aug 3, 2020

Practice Location

Address: 297 HIGHWAY 51 STE C
City: Ridgeland
State: Mississippi
ZIP Code: 39157-3423
Phone: (601) 966-5601

Authorized Official

Name: RONALD HEWITT
Title: OWNER
Phone: (601) 966-5601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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