Organization
GRAND ISLAND CLINIC INC
Active
Other names
Grand Island Clinic Inc, Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A ENCK (ADMINISTRATOR)
(308) 382-1100
Entity
Organization
Contact information
Practice address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 385-0796
Mailing address
2444 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4327
(308) 382-1100
(308) 385-0796
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
28D0455760
NE
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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