Organization
MED QUIK LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GLENN PITTMAN (OWNER)
(417) 850-1348
Entity
Organization
Contact information
Practice address
101 N RANGE LINE RD STE 322, JOPLIN, MO 64801-4118
(417) 206-7845
(417) 782-6331
Mailing address
PO BOX 3703, JOPLIN, MO 64803-3703
(417) 206-7845
(417) 782-6331
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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