NPI 1144049495
Elite-Diagnostic LLC
Practice location
- Address
- 1201 Highway 49 S STE 5b, Richland, MS 39218-9438
- Phone
- (601) 665-0360
Authorised official
- Name
- Akimmie Lynn Lewis
- Title
- Director
- Phone
- (601) 665-0360
Registered specialties (2)
Phlebotomy Technician
Primary
Other Technician
Registry record
- NPI
- 1144049495
- Entity type
- Organization
- NPI issued
- 4 Oct 2024
- Record last updated
- 4 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.