PRIME EXPRESS LABORATORY LLC NPI 1952057747

NPI Information

PRIME EXPRESS LABORATORY LLC is a health service clinic center in Milwaukee, WI. PRIME EXPRESS LABORATORY LLC NPI is 1952057747. The provider is registered as an organization entity type.

The provider's business location address is:

7607 W TOWNSEND ST STE 105
MILWAUKEE, WI
ZIP 53222-965
Phone: (877) 407-6537

The provider's authorized official is Vinnetta Ashirah Paul .
The authorized official title is Owner and has the following contact phone number (877) 407-6537.

The CLIA number assigned to this NPI record is 52D2253316 - other - diagnostic lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2022 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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