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NPI Code Detail

MEDICARE: PERFECT SERVICE SOLUTIONS LLC

MEDICARE: PERFECT SERVICE SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1164174363
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFECT SERVICE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 1503 EMERALD LAKE CIR APT 103
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3144
Country : US
Telephone Number : 757-706-1208
Fax Number :
Provider Business Practice Location Address
First Line : 1503 EMERALD LAKE CIR APT 103
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3144
Country : US
Telephone Number : 757-706-1208
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : RASHAD LILLY
Credential : LPN
Telephone Number : 757-706-1208
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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Directions to “PERFECT SERVICE SOLUTIONS LLC ” Practice Location

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