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9728 Greenville Ave Dallas TX 75243-4122 | |
| (539) 664-5480 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | 9728 Greenville Ave, Dallas, Texas |
| Authorized Official Name and Position | Colleen Payne (COO) |
| Authorized Official Contact | 4695928366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
9728 Greenville Ave Dallas TX 75243-4122 Ph: (539) 664-5480 | 9728 Greenville Ave Dallas TX 75243-4122 Ph: (539) 664-5480 |
| NPI Number | 1275960866 |
|---|---|
| Provider Enumeration Date | 09/27/2013 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 6901037415 |
|---|---|
| Medicare Enrollment ID | O20191206001948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275960866 | NPI | - | NPPES |
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