Regional Surgicenter Ltd

NPI #1134382716 in Moline, Illinois

Provider Information

NPI Number
1134382716
Entity Type
Organization
Organization Name
Regional Surgicenter Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
REGIONAL SURGICENTER LTD
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 3, 2008
Last Updated
Jul 3, 2008

Practice Location

Address
545 VALLEY VIEW DR
City
Moline
ZIP Code
61265-6138
Phone
(309) 762-5560

Authorized Official

Name
ANGELA KACHEVAS
Title
PRACTICE ADMINISTRATOR
Phone
(309) 277-1120

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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