Provider Demographics
NPI:1922670090
Name:SKILLED&EFFICIENT LABS
Entity Type:Organization
Organization Name:SKILLED&EFFICIENT LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTOMIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:MASHAY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LAB TECH
Authorized Official - Phone:309-863-9429
Mailing Address - Street 1:5021 N UNIVERSITY ST APT H
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4740
Mailing Address - Country:US
Mailing Address - Phone:309-863-9429
Mailing Address - Fax:
Practice Address - Street 1:5021 N UNIVERSITY ST APT H
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4740
Practice Address - Country:US
Practice Address - Phone:309-863-9429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty