Organization
BRIDGEANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DOWNEN (CEO/PRES)
(812) 887-3946
Entity
Organization
Contact information
Practice address
801 S WEST ST, EXECUTIVE CENTER SUITE 123, OLNEY, IL 62450-1334
(812) 287-3946
Mailing address
801 S WEST ST, EXECUTIVE CENTER SUITE 123, OLNEY, IL 62450-1334
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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