Organization
VITAS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOOLEY (OWNER/ CHIEF EXECUTIVE OFFICER)
(479) 434-5643
Entity
Organization
Contact information
Practice address
8 W 4TH ST, SPENCER, IA 51301-4017
(479) 434-5643
(479) 434-5647
Mailing address
PO BOX 23189, BARLING, AR 72923-0189
(479) 434-5643
(479) 434-5647
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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