Avalon Diagnostics Llc

NPI 1154661841 - Clinic/Center - 261QS1200X

NPI Details
NPI 1154661841
Enumeration Date 02/18/2013
Last Updated 02/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHANDRA CHANDRA
Position BILLING
Phone (580) 924-3903
Fax (580) 924-3904
Practice Location
208 W EVERGREEN ST
DURANT OK, 74701-4710, US
Phone (580) 924-3903
Fax (580) 924-3904
Business Location
208 W EVERGREEN ST
DURANT OK, 74701-4710, US
Phone (580) 924-3903
Fax (580) 924-3904
Toxanomy
Taxonomy Code 261QS1200X
License State
License Number
Remove 1154661841 NPI Number
 

According to our database, Avalon Diagnostics Llc NPI is 1154661841, taxonomy code is 261QS1200X Avalon Diagnostics Llc physically located at 208 W Evergreen St, Durant OK, 74701-4710. NPI Number 1033115704 has the healthcare provider type.

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1154661841 NPI number is provided on an as is basis without warranty of any kind. 1154661841 is maintained by the National Plan & Provider Enumeration System. The contents of Avalon Diagnostics Llc are for informational purposes only.