4 Real Group, LLC
Clinical Medical Laboratory in Desoto, TX. Organization (NPI-2).
NPI number1013206630
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1013206630
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Real Group, LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2011
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Other names
- 4rg Lab Test (Doing Business As)
- Greater Vision Facilities (Doing Business As)
Practice location
613 Worley Glen AveDesoto, TX 75115-3321
Phone 214-277-9814 · Fax 214-613-1583
Mailing address
Po Box 2587Rowlett, TX 75030-2587
Phone 855-444-7325 · Fax 214-613-1583
Authorized official
Eric Tucker
Owner
2142779814
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Medical Laboratory providers in Desoto, TX
- Ark La Tex Covid Testing Solutions LLCNPI 1831842897
- Community Testing Concierge LLCNPI 1053067413
- Essential Care Diagnostic Services, LLCNPI 1326621939
- Excellent Phlebotomy Lab Services LLCNPI 1437702867
- Faces Of Angels Diagnostics LLCNPI 1972115657
- Forensic 360 Laboratory DiagnosticNPI 1639964026
- Ifs Drug Testing Facility LLCNPI 1255087672
- Koar Medical ServicesNPI 1427718105
- Love Family Enterprises, LLCNPI 1265186548
- Ashley Mcdaniels INPI 1366112195
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.