NPI 1003061912

Grand Island Clinic INC

Organisation Clinical Medical Laboratory Grand Island, NE

Practice location

Address: 2444 W Faidley Ave, Grand Island, NE 68803-4327
Phone: (308) 382-1100
Fax: (308) 385-0796

Authorised official

Name: Patricia a Enck
Title: Administrator
Phone: (308) 382-1100

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 28D0455760 (NE)

Other Clinical Medical Laboratory providers in Nebraska →

Registry record

NPI: 1003061912
Entity type: Organization
NPI issued: 19 Nov 2008
Record last updated: 19 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.