Provider Demographics
NPI:1265220149
Name:QUICK DRAW MOBILE LAB, LLC
Entity type:Organization
Organization Name:QUICK DRAW MOBILE LAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIEARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-799-7267
Mailing Address - Street 1:313 N GILBERT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-5998
Mailing Address - Country:US
Mailing Address - Phone:480-799-7267
Mailing Address - Fax:
Practice Address - Street 1:313 N GILBERT RD STE 300
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5998
Practice Address - Country:US
Practice Address - Phone:480-799-7267
Practice Address - Fax:480-808-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Single Specialty