M&t Diagnostic Lab Services

NPI #1417948969 in Coffeyville, Kansas

Provider Information

NPI Number
1417948969
Entity Type
Organization
Organization Name
M&t Diagnostic Lab Services
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Nov 3, 2005
Last Updated
Jan 22, 2008

Practice Location

Address
1411 W 4TH ST
State
Kansas
ZIP Code
67337-3300
Phone
(620) 251-3666

Authorized Official

Name
MRS. MELISSA K WILSON, ASCP
Title
OWNER
Phone
(620) 515-0619

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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