Twin Rivers Medical Laboratory, INC
NPI #1154326668 in Logansport, Indiana
Provider Information
- NPI Number
- 1154326668
- Entity Type
- Organization
- Organization Name
- Twin Rivers Medical Laboratory, INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 21, 2005
- Last Updated
- Aug 27, 2007
Practice Location
- Address
- 902 W. BROADWAY
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-2978
- Phone
- (574) 739-0004
Authorized Official
- Name
- MS. CONNIE LOUELLEN BOSTIC, RMT
- Title
- PRESIDENT
- Phone
- (574) 739-0004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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