Midland Clia

NPI #1609183664 in Midland, Texas

Provider Information

NPI Number
1609183664
Entity Type
Organization
Organization Name
Midland Clia
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 10, 2010
Last Updated
Sep 10, 2010

Practice Location

Address
808 W INDIANA AVE
State
Texas
ZIP Code
79701-6610
Phone
(432) 570-4475

Authorized Official

Name
MR. MICHAEL EARL WATERS
Title
ADMINISTRATOR
Phone
(432) 570-4475

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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