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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