Vitas Laboratory LLC
NPI #1336660786 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1336660786
- Entity Type
- Organization
- Organization Name
- Vitas Laboratory LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 6, 2017
- Last Updated
- Jul 6, 2017
Practice Location
- Address
- 2048 PINEVILLE ROAD, SUITE B
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560
- Phone
- (479) 434-5643
Authorized Official
- Name
- BILLY TAYLOR
- Title
- OWNER
- Phone
- (479) 434-5643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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