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1689183147
VITAS LABORATORY LLC
BRUNSWICK, GA
NPI
1689183147
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Entity Type
Organization
Authorized Contact
BILLY TAYLOR
Owner
479-353-5180
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
VITAS LABORATORY LLC
702 7TH ST
BRUNSWICK, GA 31520-3249
Phone number: 479-434-5643
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Mailing Address
VITAS LABORATORY LLC
PO BOX 23189
BARLING, AR 72923-0189
Phone number: 479-434-5643
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