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1699706770
MEDICAL DIAGNOSTIC LABORATORY, INC
BELLEVILLE, IL
NPI
1699706770
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Entity Type
Organization
Authorized Contact
PAUL PONGPITOON
President
618-233-0522
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2006-07-06
Last Update Date
2020-08-22
Business Address
MEDICAL DIAGNOSTIC LABORATORY, INC
45 SHEFFIELD DR
BELLEVILLE, IL 62223-3557
Phone number: 618-233-0522
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Mailing Address
MEDICAL DIAGNOSTIC LABORATORY, INC
45 SHEFFIELD DR
BELLEVILLE, IL 62223-3557
Phone number: 618-233-0522
Copy
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