Individual
MR. BRIAN E LABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT(ASCP)
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3710
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 742-3710
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-173622
BOARD OF RGISTRY ASCP
—
Enumeration date
06/26/2008
Last updated
06/26/2008
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