Healthcare Provider Details

I. General information

NPI: 1982369989
Provider Name (Legal Business Name): FIRST CHOICE LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 E SILVER SPRINGS BLVD # 101.1
OCALA FL
34470-6831
US

IV. Provider business mailing address

1255 NE 12TH PL
OCALA FL
34470-5531
US

V. Phone/Fax

Practice location:
  • Phone: 877-491-2212
  • Fax:
Mailing address:
  • Phone: 352-691-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name: MS. CHANTEL JOHNSON
Title or Position: OWNER
Credential:
Phone: 877-491-2212