Provider Demographics
NPI:1942031901
Name:SIGNATURE LIVESCAN & NOTARY, LLC. DBA CLINICAL GEEKS
Entity type:Organization
Organization Name:SIGNATURE LIVESCAN & NOTARY, LLC. DBA CLINICAL GEEKS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:VICKERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-611-6880
Mailing Address - Street 1:66 W FLAGLER ST STE 900-5012
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1807
Mailing Address - Country:US
Mailing Address - Phone:888-611-6880
Mailing Address - Fax:
Practice Address - Street 1:66 W FLAGLER ST STE 900-5012
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1807
Practice Address - Country:US
Practice Address - Phone:888-611-6880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGNATURE LIVESCAN & NOTARY, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory