Organization
LAB TEST CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN DAVID MD (CHIEF MEDICAL DIRECTOR)
(858) 255-4242
Entity
Organization
Contact information
Practice address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(858) 255-4242
Mailing address
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801-5777
(858) 255-4242
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
10/26/2023
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