Organization
METRIC LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERMAN KENNERSON (CEO/OWNER)
(972) 679-0388
Entity
Organization
Contact information
Practice address
116 MARKETRIDGE DR, RIDGELAND, MS 39157-6009
(601) 557-0204
Mailing address
PO BOX 95546, GRAPEVINE, TX 76099-9703
(832) 250-5335
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
25D2137603
MS
Other
Enumeration date
11/03/2017
Last updated
11/17/2017
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