Macon Clinical Laboratory, Inc.
NPI #1255473906 in Macon, Mississippi
Provider Information
- NPI Number
- 1255473906
- Entity Type
- Organization
- Organization Name
- Macon Clinical Laboratory, Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 602 NJEFFERSON STREET
- City
- Macon
- State
- Mississippi
- ZIP Code
- 39341
- Phone
- (662) 726-5831
Authorized Official
- Name
- ERNEST ROY STUART
- Title
- ADMINISTRATOR
- Phone
- (662) 726-5831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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