PROVIDENCE CLINICAL LAB, LLC
Medical Laboratory at Ava Ave, Somerdale, NJ

License number
New Jersey 1492292
Category
Agencies
Type
Home Health
License number
New Jersey 1492292
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MS. CAROL JOAN EVANS B.O.R ASCP CERTIFIED
Title: CHIEF EXECUTIVE OFFICER
Phone: (856) 534-5367
Address
Address
317 Ava Ave, Somerdale, NJ 08083
National Provider ID: 1346557022
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE CLINICAL LAB, LLC at bizstanding.com

PROVIDENCE CLINICAL LAB LIMITED LIABILITY COMPANY

Somerdale, NJ

Registration:
Jun 5, 2009
State ID:
0400290558
Business type:
LLC

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