Organization
MCCOWAN CLINICAL LABORATORY, INC
Active
Organization
MCCOWAN CLINICAL LABORATORY, INC
Active
Other names
DH MCCOWAN MEDICAL LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
GAYL TROYER (LAB MANAGER)
(541) 267-7853
Entity
Organization
Contact information
Practice address
178 W COMMERCIAL AVE, COOS BAY, OR 97420-1636
(541) 267-7853
(541) 267-4025
Mailing address
178 W COMMERCIAL AVE, COOS BAY, OR 97420-1636
(541) 267-7853
(541) 267-4025
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116103
—
OR
Enumeration date
08/30/2006
Last updated
03/31/2017
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