Ansenio Clark, MLT
Ansenio Clark, MLT is a Clinical Medical Laboratory in Montgomery, Alabama. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1565 E Trinity BlvdMontgomery, AL 36106-2897
Phone: (334) 440-4538
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1699517821 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MLT |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2024 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
| Mailing address | 1565 E Trinity Blvd, Montgomery, AL 36106-2897 |
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