Organization
BERG DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY WYRICK (CHIEF FINANCIAL OFFICER)
(530) 378-7646
Entity
Organization
Contact information
Practice address
12 MICHIGAN DR, NATICK, MA 01760-1339
(617) 588-2170
(615) 872-2775
Mailing address
7672 AVIANCA DR # C-50, REDDING, CA 96002-9713
(530) 378-7646
(530) 243-8973
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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