Organization
SOUTHEAST COMMUNITY LABORATORY NETWORK, LLC
Active
Other names
Southeast Community Laboratory Network
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL BOHLENDER (COO)
(970) 663-5631
Entity
Organization
Contact information
Practice address
22240 COUNTY ROAD 39, LA SALLE, CO 80645-8727
(970) 663-5631
Mailing address
22240 COUNTY ROAD 39, LA SALLE, CO 80645-8727
(970) 663-5631
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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