| NPI | 1043828387 |
|---|---|
| Doing Business As | ST. MARY'S HOSPITAL OUTPATIENT LAB |
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLIER CEO/President 920-676-1148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2021-12-22 |