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Va Medical Center

NPI #1568634608 in Marion, Illinois

Provider Information

NPI Number
1568634608
Entity Type
Organization
Organization Name
Va Medical Center
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Mar 28, 2008
Last Updated
Mar 28, 2008

Practice Location

Address
2401 W MAIN ST
City
Marion
State
Illinois
ZIP Code
62959-1188
Phone
(618) 993-4113

Authorized Official

Name
MR. VAN R HENDRICKSON, MT(ASCP)
Title
LABORATORY MANAGER
Phone
(618) 993-4113

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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