Organization
M-LAB ENTERPRISES,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E. LABERTEW D.C. (OWNER)
(618) 283-2230
Entity
Organization
Contact information
Practice address
2 TERMIANL DR. STE. 15, EAST ALTON, IL 62024
(618) 258-8610
(618) 258-8615
Mailing address
2 TERMINAL DR STE 15, EAST ALTON, IL 62024-2268
(618) 258-8610
(618) 258-8615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008755
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008755
—
IL
Enumeration date
10/22/2007
Last updated
09/13/2010
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