Excellent Phlebotomy Lab Services LLC
Clinical Medical Laboratory in Desoto, TX. Organization (NPI-2).
NPI number1437702867
StatusActive
Last updated in NPPESJul 20, 2020
Details
- NPI
- 1437702867
- Entity type
- Organization (NPI-2)
- Legal business name
- Excellent Phlebotomy Lab Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2019
- Certification date
- Jul 20, 2020
- Last updated
- Jul 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – |
Other names
- Ep Lab Service (Doing Business As)
Practice location
1615 Osprey Dr Ste 107Desoto, TX 75115-2427
Phone 469-930-5842 · Fax 866-315-5210
Mailing address
1615 Osprey Dr Ste 107Desoto, TX 75115-2427
Phone 469-930-5842 · Fax 866-315-5210
Other practice locations
5500 E Loop 820 S Ste 200
Fort Worth, TX 76119-6566
Fort Worth, TX 76119-6566
Phone 405-748-0207
Authorized official
Latrilla Cassey
Owner
4057480207
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