Organization
B3 DIAGNOSTIC LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT M BOBBITT (MANAGING PARTNER)
(979) 820-2607
Entity
Organization
Contact information
Practice address
1307 ALLEN DR STE A, TROY, MI 48083-4010
(888) 508-0561
(888) 398-1015
Mailing address
PO BOX 9197, COLLEGE STATION, TX 77842-9197
(979) 246-2020
(888) 398-1015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2097180
CLIA
MI
Enumeration date
06/12/2015
Last updated
02/13/2017
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