Provider Demographics
NPI:1902499080
Name:XPRESS MOBILE LABS AND SERVICES
Entity Type:Organization
Organization Name:XPRESS MOBILE LABS AND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-738-3379
Mailing Address - Street 1:11308 SCENIC POINT CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-9317
Mailing Address - Country:US
Mailing Address - Phone:800-718-7162
Mailing Address - Fax:866-350-0752
Practice Address - Street 1:11308 SCENIC POINT CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-9317
Practice Address - Country:US
Practice Address - Phone:800-718-7162
Practice Address - Fax:866-350-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory