Dtc Laboratory Services, Llc

NPI 1003997610 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1003997610
Enumeration Date 10/18/2006
Last Updated 12/07/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN L BRIAN
Position DIRECTOR
Phone (601) 484-7740
Fax
Practice Location
1512 20TH AVE
MERIDIAN MS, 39301-4124, US
Phone (601) 484-7740
Fax
Business Location
PO BOX 5869
MERIDIAN MS, 39302-5869, US
Phone (601) 484-3257
Fax
Toxanomy
Taxonomy Code 291U00000X
License State Mississippi
License Number 25D0651894
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According to our database, Dtc Laboratory Services, Llc NPI is 1003997610, taxonomy code is 291U00000X and license number is 25D0651894, license state is located at Mississippi. Dtc Laboratory Services, Llc physically located at 1512 20th Ave, Meridian MS, 39301-4124. NPI Number 1033115704 has the healthcare provider type.

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1003997610 NPI number is provided on an as is basis without warranty of any kind. 1003997610 is maintained by the National Plan & Provider Enumeration System. The contents of Dtc Laboratory Services, Llc are for informational purposes only.