1871254284 NPI number — 24-7 LABORATORIES LLC

Table of content: DEBRA JEANNE KNOWLES LPN (NPI 1437491297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871254284 NPI number — 24-7 LABORATORIES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
24-7 LABORATORIES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871254284
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6107 MEMORIAL HWY STE F
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33615-4564
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-932-3741
Provider Business Mailing Address Fax Number:
813-932-5461

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3180 CURLEW RD UNIT 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLDSMAR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34677-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-932-3741
Provider Business Practice Location Address Fax Number:
813-932-5461
Provider Enumeration Date:
01/07/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOLINA
Authorized Official First Name:
WILSON
Authorized Official Middle Name:
O
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
787-455-5660

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)