W2020 Vision-Dt, LLC
Clinical Medical Laboratory in Live Oak, TX. Organization (NPI-2).
NPI number1255083994
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1255083994
- Entity type
- Organization (NPI-2)
- Legal business name
- W2020 Vision-Dt, LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Mar 18, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Skrap Labs (Doing Business As)
Practice location
12702 Toepperwein Rd Ste 209Live Oak, TX 78233-3250
Phone 210-570-5302 · Fax 210-957-7242
Mailing address
12702 Toepperwein Rd Ste 209Live Oak, TX 78233-3250
Phone 210-570-5302 · Fax 210-957-7242
Authorized official
Dennis Lamar Parks
President
2103924567
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