COLBERT LABORATORY INC
Medical Laboratory at Guard St, Russellville, AL

License number
Alabama 09778
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. GARY L BRILES MLT
Title: ADMINISTRATOR
Phone: (256) 332-6602
Address
Address
128 Guard St, Russellville, AL 35653
National Provider ID: 1063406320
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Colbert Laboratory, Inc

Russellville, AL

Status:
Inactive
Industry:
Medical Testing
Registration:
Jun 11, 1992
State ID:
150-212
Business type:
Domestic Corporation
Formation place:
Colbert County
Incorporators:
Jerry A Tomlinson (Incorporator),David A Vance (Incorporator),Gary L Briles (Incorporator),...
Canceled Date:
Jan 3, 2012

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