Organization
STAT TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUND (PRESIDENT)
(269) 743-6060
Entity
Organization
Contact information
Practice address
5136 LOVERS LN, SUITE 104, PORTAGE, MI 49002-1518
(269) 743-6060
Mailing address
5136 LOVERS LN, SUITE 104, PORTAGE, MI 49002-1518
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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