Organization
WI CARE CLINICAL LABS LLC
Active
Other names
WI CARE CLINICAL LABS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN LOGA PHD, MS, MLS(ASCP) (DIRECTOR)
(603) 331-5680
Entity
Organization
Contact information
Practice address
6100 K AVE STE 108, PLANO, TX 75074-2538
(603) 331-5680
Mailing address
660 BRANDTLY RIDGE DR, COVINGTON, KY 41015-4228
(603) 331-5680
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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