Yellowstone Labs, LLC
Clinical Medical Laboratory in Dallas, TX. Organization (NPI-2).
NPI number1184201220
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1184201220
- Entity type
- Organization (NPI-2)
- Legal business name
- Yellowstone Labs, LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2021
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
4300 N Central Expy Ste 300Dallas, TX 75206-6543
Phone 469-424-1353
Mailing address
4300 N Central Expy Ste 300Dallas, TX 75206-6543
Authorized official
Robert Mendez
Member
4694241353
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