MEDICAL LABORATORY OF OLEAN
Medical Laboratory at State St, Olean, NY

License number
New York PFI3746
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: BABU A BHAWSAR MA
Title: PRESIDENT
Phone: (716) 373-2670
Address
Address
2626 W State St, Olean, NY 14760
National Provider ID: 1962495812
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MEDICAL LABORATORY OF OLEAN, INC

2626 W State St, Olean, NY 14760

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Jan 22, 1990
Inactive since:
Jun 15, 2007
State ID:
1416196
Business type:
DOMESTIC BUSINESS CORPORATION
Babu A. Bhawsar, 3388 Buffalo St, Allegany, NY 14706 (Physical)

Medical Laboratory licenses in New York

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