Organization
LAB COLLECTION SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MARIE SPATAFORE MLT (ASCP) (OWNER/MANAGER)
(304) 481-0956
Entity
Organization
Contact information
Practice address
1505 GRAND CENTRAL AVE STE 9, VIENNA, WV 26105-1074
(304) 481-0956
Mailing address
1505 GRAND CENTRAL AVE STE 9, VIENNA, WV 26105-1074
(304) 481-0956
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2231-3437
WV
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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