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Organization

AK MOLECULAR DIAGNOSTIC LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA ANN KELLY MS, MT(ASCP), CLSP(M (PRESIDENT/LAB MANAGER)
(254) 741-6363
Entity
Organization

Contact information

Practice address
1000 W STATE HIGHWAY 6, SUITE 230, WACO, TX 76712-3786
(254) 741-6363
Mailing address
1000 W STATE HIGHWAY 6, SUITE 230, WACO, TX 76712-3786
(254) 741-6363

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/01/2006
Last updated
08/24/2007
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