Organization
PROLABORATORY LLC
Active
Other names
Prolaboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
SELETA VANG (MANAGING MEMBER)
(715) 514-1443
Entity
Organization
Contact information
Practice address
1109 W MACARTHUR AVE UNIT C, EAU CLAIRE, WI 54701-6282
(715) 514-1443
Mailing address
1109 W MACARTHUR AVE UNIT C, EAU CLAIRE, WI 54701-6282
(715) 514-1443
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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