Organization
NEW COVID TESTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY HIETPAS (OWNER)
(920) 540-4976
Entity
Organization
Contact information
Practice address
3912 ROSIN RD, DE PERE, WI 54115-9444
(920) 540-4976
Mailing address
3912 ROSIN RD, DE PERE, WI 54115-9444
(920) 540-4976
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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