Justkam Quick Stick Lab
Technician, Pathology, Phlebotomy in El Dorado, AR. Organization (NPI-2).
NPI number1013679992
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1013679992
- Entity type
- Organization (NPI-2)
- Legal business name
- Justkam Quick Stick Lab
- Organization subpart
- No
- Enumeration date
- Oct 8, 2021
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
Practice location
1235 W Hillsboro StEl Dorado, AR 71730-6911
Phone 510-593-9110
Mailing address
1235 W Hillsboro StEl Dorado, AR 71730-6911
Phone 510-593-9110
Authorized official
Kamea Burgie
Owner
8702607990
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