Organization
MERCY DIAGNOSTICS INC
Active
Parent organization
MERCY DIAGNOSTICS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY DIAGNOSTICS INC
Authorized official
MR. MICHAEL DAVIS (CFO)
(856) 437-5249
Entity
Organization
Contact information
Practice address
5714 CENTRAL AVE, PORTAGE, IN 46368-2949
(856) 437-5249
(856) 422-2577
Mailing address
3109 POPLARWOOD CT, SUITE 301, RALEIGH, NC 27604-1011
(856) 437-5249
(856) 422-2577
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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