Grand Island Clinic Inc

NPI 1003061912 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1003061912
Enumeration Date 11/19/2008
Last Updated 11/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PATRICIA A PATRICIA
Position ADMINISTRATOR
Phone (308) 382-1100
Fax (308) 385-0796
Practice Location
2444 W FAIDLEY AVE
GRAND ISLAND NE, 68803-4327, US
Phone (308) 382-1100
Fax (308) 385-0796
Business Location
2444 W FAIDLEY AVE
GRAND ISLAND NE, 68803-4327, US
Phone (308) 382-1100
Fax (308) 385-0796
Toxanomy
Taxonomy Code 291U00000X
License State Nebraska
License Number 28D0455760
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According to our database, Grand Island Clinic Inc NPI is 1003061912, taxonomy code is 291U00000X and license number is 28D0455760, license state is located at Nebraska. Grand Island Clinic Inc physically located at 2444 W Faidley Ave, Grand Island NE, 68803-4327. NPI Number 1033115704 has the healthcare provider type.

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1003061912 NPI number is provided on an as is basis without warranty of any kind. 1003061912 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Island Clinic Inc are for informational purposes only.