Professional Clinical Laboratory, LLC

NPI #1174762264 in Waukesha, Wisconsin

Provider Information

NPI Number
1174762264
Entity Type
Organization
Organization Name
Professional Clinical Laboratory, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 12, 2009
Last Updated
Feb 12, 2009

Practice Location

Address
1111 DELAFIELD ST
Address 2
SUITE 309
ZIP Code
53188-3417
Phone
(262) 542-8020

Authorized Official

Name
MR. JOHN E STAGER, MS
Title
MANAGER
Phone
(262) 542-8020

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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