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Organization

STAR QUALITY DIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANSENIO CLARK (OWNER)
(334) 669-8574
Entity
Organization

Contact information

Practice address
1565 E TRINITY BLVD # A5A6, MONTGOMERY, AL 36106-2897
(334) 314-5691
Mailing address
1565 E TRINITY BLVD, MONTGOMERY, AL 36106-2897
(334) 669-9574

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/27/2024
Last updated
06/13/2024
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