Harvard Lab & X-Ray, INC

NPI #1629140793 in Roseburg, Oregon

Provider Information

NPI Number: 1629140793
Entity Type: Organization
Organization Name: Harvard Lab & X-Ray, INC
Primary Specialty: Radiology - Body Imaging
Enumeration Date: Nov 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1813 W HARVARD AVE
Address 2: SUITE 102
City: Roseburg
State: Oregon
ZIP Code: 97470-2752
Phone: (541) 440-6316

Authorized Official

Name: MARLIN LARSEN, PHD, BLD
Title: OWNER
Phone: (541) 672-9349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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