Provider Demographics
NPI:1922759265
Name:DESIRABLE MEASURES LLC
Entity Type:Organization
Organization Name:DESIRABLE MEASURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLESHA
Authorized Official - Middle Name:TREVESS
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:863-617-3689
Mailing Address - Street 1:5684 ELSINORE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-2660
Mailing Address - Country:US
Mailing Address - Phone:863-617-3689
Mailing Address - Fax:
Practice Address - Street 1:5684 ELSINORE WAY
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2660
Practice Address - Country:US
Practice Address - Phone:863-617-3689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty