Organization
BRISTOL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH KRISTIN PALIN J.D. (SOLE MEMBER)
(276) 696-0144
Entity
Organization
Contact information
Practice address
1009 W STATE ST, SUITE 2A, BRISTOL, VA 24201-3823
(276) 696-0144
(276) 696-0143
Mailing address
1009 W STATE ST, SUITE 2A, BRISTOL, VA 24201-3823
(276) 696-0144
(276) 696-0143
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447410642
—
VA
05
—
1513964
—
TN
Enumeration date
06/11/2008
Last updated
04/11/2011
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