Organization
PHYSICIANS REFERENCE LABORATORY, INC.
Active
Other names
PHYSICIANS REFERENCE LABORATORY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GORHAM ROLLINS M.T. (LAB MANGER)
(423) 886-1212
Entity
Organization
Contact information
Practice address
243 SIGNAL MOUNTAIN RD, SUITE G, CHATTANOOGA, TN 37405-1933
(423) 266-1222
(423) 266-1271
Mailing address
243 SIGNAL MOUNTAIN RD, SUITE G, CHATTANOOGA, TN 37405-1933
(423) 266-1222
(423) 266-1271
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000004059
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4059
TENNESSE STATE LICIENSE
TN
Enumeration date
08/16/2006
Last updated
04/01/2008
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