Organization
CLINICAL LIFE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJ PATEL (MEMBER)
(646) 820-7251
Entity
Organization
Contact information
Practice address
5110 MAIN ST UNIT B, STEVENS POINT, WI 54481-9145
(646) 820-7251
Mailing address
5110 MAIN ST UNIT B, STEVENS POINT, WI 54481-9145
(646) 820-7251
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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