Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X | |||
Medical Laboratory |
246RM2200X |
| NPI # | 1396568168 |
| LBN Legal business name | INNOVATIVE LABS OF SFL |
| Authorized official | JASMINE NOEL - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/31/2024 |
| Last updated | 10/31/2024 - More than a year ago |
| Identifiers | n/a |
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