Dback 5
Clinical Medical Laboratory in Katy, TX. Organization (NPI-2).
NPI number1477781748
StatusActive
Last updated in NPPESJun 25, 2009
Details
- NPI
- 1477781748
- Entity type
- Organization (NPI-2)
- Legal business name
- Dback 5
- Organization subpart
- Yes
- Enumeration date
- Jun 25, 2009
- Last updated
- Jun 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Prestige Laboratory (Doing Business As)
Practice location
5503 Morton RdKaty, TX 77493-1338
Phone 956-782-6200 · Fax 956-782-6202
Mailing address
409 W Fm 495San Juan, TX 78589-3717
Phone 956-782-6200 · Fax 956-782-6202
Authorized official
Franklin Beltre
Ceo
9567826200
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