=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285570002
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL IN ONE HEALTHY LABORATORY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2026
-----------------------------------------------------
Last Update Date | 04/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1805 W COLONIAL DR STE B-1
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32804-7011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-717-3864
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1805 W COLONIAL DR STE B-1
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32804-7011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-717-3864
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MICHELINE JN JACQUES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-717-3864
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246RP1900X
-----------------------------------------------------
Taxonomy Name | Phlebotomy Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------