Provider Demographics
NPI:1811347891
Name:SOFT TOUCH MOBILE LAB SERVICES
Entity type:Organization
Organization Name:SOFT TOUCH MOBILE LAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:NCPT, NCMA
Authorized Official - Phone:954-709-9849
Mailing Address - Street 1:1471 NW 22ND CT
Mailing Address - Street 2:1
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-3545
Mailing Address - Country:US
Mailing Address - Phone:954-709-9849
Mailing Address - Fax:
Practice Address - Street 1:1471 NW 22ND CT
Practice Address - Street 2:1
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-3545
Practice Address - Country:US
Practice Address - Phone:954-709-9849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL828224291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory