NPI | 1164462925 |
---|---|
Doing Business As | ST. AGNES LAB SERVICES |
Entity Type | Organization |
Authorized Contact | KEITH VANDER KOLK President/CEO 667-234-2101 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2006-06-08 |
Last Update Date | 2016-02-25 |