Organization
BETA DIAGNOSTIC LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM C TOUSIS (OWNER)
(262) 583-0068
Entity
Organization
Contact information
Practice address
7200 WASHINGTON AVE STE 104, MT PLEASANT, WI 53406-6516
(262) 583-0068
(262) 583-0079
Mailing address
7200 WASHINGTON AVE STE 104, MT PLEASANT, WI 53406-6516
(262) 583-0068
(262) 583-0079
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
08/08/2022
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