MEDICARE: LAB GRABBERS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	246RM2200X	Medical Laboratory Technician
2	246RP1900X	Phlebotomy Technician
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1184245458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAB GRABBERS, LLC

Provider Business Mailing Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	904-335-8331
Fax Number	:	904-204-1393

Provider Business Practice Location Address
First Line	:	841 PRUDENTIAL DR STE 1200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8874
Country	:	US
Telephone Number	:	904-335-8331
Fax Number	:	904-204-1393

Authorized Official
Title or Position	:	OWNER
Name	:	TOYA T SPROUL
Credential	:	PBT
Telephone Number	:	904-335-8331

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	06/16/2021

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