Organization
MEQUON LABS INC
Active
Organization
MEQUON LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOZAFAR SALEKI MS MT (LABORATORY DIRECTOR)
(262) 240-5443
Entity
Organization
Contact information
Practice address
1415 DONGES BAY ROAD, MEQUON, WI 53092-5528
(262) 240-5443
(262) 240-0755
Mailing address
1415 DONGES BAY ROAD, MEQUON, WI 53092-5528
(262) 240-5443
(262) 240-0755
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WI
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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