Healthcare Provider Details

I. General information

NPI: 1386230308
Provider Name (Legal Business Name): TOXGLOBAL LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 ABERCORN ST
SAVANNAH GA
31419-1109
US

IV. Provider business mailing address

10500 ABERCORN ST
SAVANNAH GA
31419-1109
US

V. Phone/Fax

Practice location:
  • Phone: 877-225-0316
  • Fax:
Mailing address:
  • Phone: 877-225-0316
  • 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: TARA LYNNE TURNER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 877-225-0316