Organization · NPI-2

Allied Health Lab Services LLC

Clinic/Center, Health Services · Memphis, TN

NPI number1295406130

StatusActive

Last updated in NPPESOct 12, 2021

Details

NPI: 1295406130
Entity type: Organization (NPI-2)
Legal business name: Allied Health Lab Services LLC
Organization subpart: No
Enumeration date: Sep 21, 2021
Certification date: Oct 12, 2021
Last updated: Oct 12, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QH0100X	Clinic/Center, Health Services	–	–	Yes
291U00000X	Clinical Medical Laboratory	–	–

Practice location

3768 S Hickory Ridge Mall
Memphis, TN 38115-8804

Phone 901-305-6224

Mailing address

8976 Donnell Rd
Millington, TN 38053-4847

Phone 901-270-8908

Authorized official

Tuwanna L Mcdaniel
Owner
9012708908

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