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Organization

MEDTEST LABORATORIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TAYLOR JR. (MEMBER)
(405) 285-0102
Entity
Organization

Contact information

Practice address
3860 TEAYS VALLEY RD, SUITE 2, HURRICANE, WV 25526-9772
(304) 757-9982
(304) 945-9093
Mailing address
861 E 33RD ST, EDMOND, OK 73013-5407
(405) 285-0102
(405) 509-2869

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
51D2098204
WV

Other

Enumeration date
07/02/2015
Last updated
03/13/2017
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