| Panhandle Reproductive Research Laboratory | |
|
1400 S Coulter St Amarillo TX 79106-1786 | |
| (806) 414-9780 | |
| (806) 354-5499 |
| Full Name | Panhandle Reproductive Research Laboratory |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 1400 S Coulter St, Amarillo, Texas |
| Authorized Official Name and Position | Debra L Lee (UNIT MANAGER) |
| Authorized Official Contact | 8064149565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Reproductive Research Laboratory 1400 S Coulter St Amarillo TX 79106-1786 Ph: (806) 414-9780 | Panhandle Reproductive Research Laboratory 1400 S Coulter St Amarillo TX 79106-1786 Ph: (806) 414-9780 |
| NPI Number | 1790838357 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 9234037847 |
|---|---|
| Medicare Enrollment ID | O20100722000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790838357 | NPI | - | NPPES |
| 45D0507106 | Other | TX | CLIA CERTIFICATE NUMBER |
| 025428601 | Medicaid | TX | |
| 100759180 A | Medicaid | OK | |
| E5114 | Medicaid | NM | |
| 025428602 | Medicaid | TX |
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