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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