Organization
MOUNTAINEER LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DIXON (OWNER)
(214) 888-6976
Entity
Organization
Contact information
Practice address
1337 VIRGINIA ST E, CHARLESTON, WV 25301-3011
(214) 888-6976
(888) 845-7740
Mailing address
6029 BELT LINE RD STE 210, DALLAS, TX 75254-7964
(214) 888-6976
(888) 845-7740
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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