Apg Medical Laboratory

NPI #1376938225 in O Fallon, Illinois

Provider Information

NPI Number
1376938225
Entity Type
Organization
Organization Name
Apg Medical Laboratory
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Mar 30, 2015
Last Updated
Sep 17, 2015

Practice Location

Address
916 TALON DR
Address 2
SUITE 102
ZIP Code
62269-1848
Phone
(618) 628-8211

Authorized Official

Name
JOHN S VICK, DO
Title
OWNER
Phone
(618) 628-8211

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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