The Lab, LLC

NPI #1609463819 in Jackson, Wyoming

Provider Information

NPI Number
1609463819
Entity Type
Organization
Organization Name
The Lab, LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Dec 22, 2020
Last Updated
May 23, 2021

Practice Location

Address
625 E BROADWAY AVE
State
Wyoming
ZIP Code
83001-8642
Phone
(307) 920-1688

Authorized Official

Name
AUSTIN HAMMESFAHR
Title
MANAGER
Phone
(310) 307-9670

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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