Organization
EASY LAB TECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIGNER MILES (BUSINESS OPERATIONS MANAGER)
(314) 562-6552
Entity
Organization
Contact information
Practice address
2203 N CENTER ST, MARYVILLE, IL 62062-2024
(618) 772-7222
Mailing address
2203 N CENTER ST, MARYVILLE, IL 62062-2024
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2021
Last updated
12/24/2021
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