Organization
YOUR MAIN LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MARIE WHEELER (MANAGER)
(408) 931-1161
Entity
Organization
Contact information
Practice address
4932 S VIRGINIA ST, RENO, NV 89502-6016
(775) 409-3917
(775) 409-3116
Mailing address
4932 S VIRGINIA ST, RENO, NV 89502-6016
(775) 409-3917
(775) 409-3116
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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