Provider Demographics
NPI:1073304663
Name:WILLIAMS 1STOP LABORATORY SERVICES, LLC
Entity type:Organization
Organization Name:WILLIAMS 1STOP LABORATORY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-519-6420
Mailing Address - Street 1:407 BALFOUR RD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-1910
Mailing Address - Country:US
Mailing Address - Phone:870-519-6420
Mailing Address - Fax:
Practice Address - Street 1:3225 KIRBY WHITTEN RD # 5
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2893
Practice Address - Country:US
Practice Address - Phone:870-635-5862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center