Organization
BLUE MOUNTAIN DIAGNOSTICS LLC
Active
Other names
Blue Mountain Diagnostics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY DAVID ALEXANDER (OWNER)
(864) 907-8820
Entity
Organization
Contact information
Practice address
10 ENTERPRISE BLVD STE 206, GREENVILLE, SC 29615-3554
(864) 263-3302
Mailing address
10 ENTERPRISE BLVD STE 206, GREENVILLE, SC 29615-3554
(864) 263-3302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
12/03/2024
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