Secure Labs LLC
Clinic/Center, Medical Specialty in Philadelphia, PA. Organization (NPI-2).
NPI number1093470171
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1093470171
- Entity type
- Organization (NPI-2)
- Legal business name
- Secure Labs LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2021
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
1836 Strahle StreetPhiladelphia, PA 19152-2323
Phone 215-796-7950
Mailing address
1836 Strahle StreetPhiladelphia, PA 19152-2323
Phone 215-796-7950
Authorized official
Ceciliah Muiruri Schwartz
Owner
2157967950
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