Organization
AMERICAN TOXICOLOGY LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA F WENDLE (CREDENTIALING)
(276) 679-2377
Entity
Organization
Contact information
Practice address
414 E WATAUGA AVE, JOHNSON CITY, TN 37601-4037
(423) 631-0276
Mailing address
414 E WATAUGA AVE, JOHNSON CITY, TN 37601-4037
(423) 631-0276
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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