Organization
LAHONTAN VALLEY DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY CRAIG JACKSON (PRESIDENT OWNER)
(775) 423-6715
Entity
Organization
Contact information
Practice address
993 W WILLIAMS AVE, FALLON, NV 89406-2631
(775) 423-6715
(775) 423-6716
Mailing address
993 W WILLIAMS AVE, FALLON, NV 89406-2631
(775) 423-6715
(775) 423-6716
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
162277
NV
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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