| NPI | 1083066823 |
|---|---|
| Doing Business As | SOUTHEAST COMMUNITY LABORATORY NETWORK |
| Entity Type | Organization |
| Authorized Contact | DARYL BOHLENDER COO 970-663-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |