Itl Pharma

NPI #1154716512 in Kingsport, Tennessee

Provider Information

NPI Number
1154716512
Entity Type
Organization
Organization Name
Itl Pharma
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 2, 2015
Last Updated
Apr 2, 2015

Practice Location

Address
100 COLEY ST
ZIP Code
37660-1505
Phone
(423) 444-1474

Authorized Official

Name
DR. KEITH R LATHAM
Title
CEO
Phone
(423) 444-1474

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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