NPI 1043769078

Employment Testing Services

Organisation Clinical Medical Laboratory Gillette, WY

Practice location

Address: 3805 South Douglas Hwy Unit 1, Gillette, WY 82718
Phone: (307) 685-6442
Fax: (307) 685-6404

Authorised official

Name: Clinton Jerome Peterson
Title: President
Phone: (307) 685-6442

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Wyoming →

Registry record

NPI: 1043769078
Entity type: Organization
NPI issued: 3 Oct 2016
Record last updated: 3 Oct 2016

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.