| Easy Lab Tech, LLC | |
|
2203 N Center St Maryville IL 62062-2024 | |
| (618) 772-7222 | |
| Not Available |
| Full Name | Easy Lab Tech, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2203 N Center St, Maryville, Illinois |
| Authorized Official Name and Position | Aigner Miles (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 3145626552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easy Lab Tech, LLC 2203 N Center St Maryville IL 62062-2024 | Easy Lab Tech, LLC 2203 N Center St Maryville IL 62062-2024 Ph: (618) 772-7222 |
| NPI Number | 1093475527 |
|---|---|
| Provider Enumeration Date | 12/24/2021 |
| Last Update Date | 12/24/2021 |
| Certification Date | 12/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093475527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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