Organization
SHERIDAN MEDICAL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA RAE BILLINGS (BUSINESS MANAGER)
(307) 672-2095
Entity
Organization
Contact information
Practice address
220 WEST DOW STREET, SHERIDAN, WY 82801
(307) 672-2095
(307) 675-1037
Mailing address
220 WEST DOW STREET, SHERIDAN, WY 82801
(307) 672-2095
(307) 675-1037
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
53D0662199
WY
291U00000X
Clinical Medical Laboratory
Primary
53D0662199
—
Other
Enumeration date
10/10/2006
Last updated
06/09/2010
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