Organization
VERMONT PHYSICIANS CLINIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY WAITE (BILLING MANAGER)
(800) 371-8685
Entity
Organization
Contact information
Practice address
12 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-9211
Mailing address
19 FREEMAN AVE, RUTLAND, VT 05701-4609
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
10/29/2007
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