Organization
VITAS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOOLY (OWNER)
(479) 434-5643
Entity
Organization
Contact information
Practice address
1191 S COLUMBIA RD, GRAND FORKS, ND 58201-4033
(479) 434-5643
Mailing address
PO BOX 23189, BARLING, AR 72923-0189
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
ND
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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