Organization
CLG DIAGNOSTICS. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA PERRY (DIRECTOR OF COMPLIANCE)
(603) 328-8633
Entity
Organization
Contact information
Practice address
11350 SW VILLAGE PKWY STE 307, PORT SAINT LUCIE, FL 34987-2352
(603) 328-8633
Mailing address
PO BOX 1254, SALEM, NH 03079-1138
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
03/17/2018
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