Organization
SRG HEALTH LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADECA GULLENS (CLINICAL LAB DIRECTOR)
(608) 471-4127
Entity
Organization
Contact information
Practice address
2317 INTERNATIONAL LN STE 114, MADISON, WI 53704-3154
(608) 471-4127
(855) 316-1039
Mailing address
2317 INTERNATIONAL LN STE 114, MADISON, WI 53704-3154
(608) 471-4127
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
09/21/2023
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