Organization
ASSURANCE DRUG TESTING LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN J O'BOYLE B.S. (OWNER)
(414) 248-3601
Entity
Organization
Contact information
Practice address
6040 W LISBON AVE STE 200, MILWAUKEE, WI 53210-2116
(414) 248-3601
(414) 744-9052
Mailing address
6040 W LISBON AVE STE 200, MILWAUKEE, WI 53210-2116
(414) 248-3601
(414) 744-9052
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52D0973993
WI
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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