ELITE BIOMEDICAL LAB SERVICE; NPI #1376116111

Contact Information

ELITE BIOMEDICAL LAB SERVICE

15202 NW 147TH DR STE 600
ALACHUA, FL 32615-5333

Phone: 386-588-3230
Fax: 888-480-7977
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Phlebotomy	246RP1900X
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory

Indicates primary specialty

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NPI Profile & details for ELITE BIOMEDICAL LAB SERVICE

NPI # 1376116111

LBN Legal business name ELITE BIOMEDICAL LAB SERVICE

Authorized official MARJILLIAN WILLIAMS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/20/2021

Last updated 07/20/2021 - About 5 years ago

Identifiers

Other

10D2166575

CLIA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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