NPI | 1891937256 |
---|---|
Doing Business As | BELLIN HEALTH OUTREACH LABORATORY |
Entity Type | Organization |
Authorized Contact | DENISE K STROOBANTS Credentialing Specialist 920-445-7226 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0662050) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: WI 52D0913169) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2020-05-18 |