Provider Demographics
NPI:1992528129
Name:URGENT LAB SERVICES LLC
Entity type:Organization
Organization Name:URGENT LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NEKEA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-686-6456
Mailing Address - Street 1:PO BOX 12351
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-0351
Mailing Address - Country:US
Mailing Address - Phone:904-686-6456
Mailing Address - Fax:904-764-0111
Practice Address - Street 1:6501 ARLINGTON EXPY STE B105
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-0810
Practice Address - Country:US
Practice Address - Phone:904-686-6456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty