Organization
LEWIS GALE PHYSICIANS LLC
Active
Other names
Main Lab
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T CALKINS (VICE PRESIDENT)
(804) 237-7766
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3511
Mailing address
PO BOX 403901, ATLANTA, GA 30384-3901
(816) 701-4101
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004980034
—
VA
Enumeration date
10/19/2006
Last updated
12/10/2014
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