Mat-Su Medical Laboratory, Llc.

NPI #1861742793 in Wasilla, Alaska

Provider Information

NPI Number
1861742793
Entity Type
Organization
Organization Name
Mat-Su Medical Laboratory, Llc.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Sep 18, 2012
Last Updated
Jul 21, 2022

Practice Location

Address
224 N YENLO ST STE 3B
State
Alaska
ZIP Code
99654-7195
Phone
(907) 376-1122

Authorized Official

Name
PAULINE BULLARD
Title
OWNER
Phone
(907) 376-1122

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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