Organization
MAIN STREET CLINICAL LABORATORY, INC
Active
Organization
MAIN STREET CLINICAL LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY SCHRYVER (VP OF OPERATIONS)
(303) 371-0073
Entity
Organization
Contact information
Practice address
8727 NORTHWEST DR, SOUTHAVEN, MS 38671-2429
(303) 371-0073
Mailing address
12075 E 45TH AVE, SUITE 600, DENVER, CO 80239-3123
(303) 371-0073
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/01/2009
Last updated
09/21/2015
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