Prolab Servicse INC

NPI #1659596161 in Jefferson City, Missouri

Provider Information

NPI Number
1659596161
Entity Type
Organization
Organization Name
Prolab Servicse INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 17, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1705 CHRISTY DR STE 105
ZIP Code
65101-5195
Phone
(573) 659-5460

Authorized Official

Name
JOHANNA L LOOTENS
Title
OWNER MANAGER
Phone
(573) 659-5460

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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