Provider Demographics
NPI:1295358489
Name:QUICK STICKS, LLC
Entity Type:Organization
Organization Name:QUICK STICKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHATERICA
Authorized Official - Middle Name:SHICOLE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-413-9427
Mailing Address - Street 1:119 TARBORO ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-5429
Mailing Address - Country:US
Mailing Address - Phone:252-413-9427
Mailing Address - Fax:252-442-0869
Practice Address - Street 1:9900 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-4250
Practice Address - Country:US
Practice Address - Phone:252-413-9427
Practice Address - Fax:757-872-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory