Organization
COSHOCTON LABORATORY INTERNATIONAL LLC
Active
Organization
COSHOCTON LABORATORY INTERNATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY LYNN KELTON RN, LMT (MANAGING MEMBER)
(740) 622-3971
Entity
Organization
Contact information
Practice address
660 MAIN ST, COSHOCTON, OH 43812-1613
(740) 622-3971
(740) 622-3972
Mailing address
660 MAIN ST, COSHOCTON, OH 43812-1613
(740) 622-3971
(740) 622-3972
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
36D1100195
OH
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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