Provider First Line Business Practice Location Address:
PRO-LAB DIAGNOSTICS
Provider Second Line Business Practice Location Address:
1301 BLUE RIDGE DRIVE SUITE 101
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78626-1034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-832-9145
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2020