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Ccl Labs LLC

Clinical Medical Laboratory in Bedford, TX. Organization (NPI-2).

NPI number1639791007
StatusActive
Last updated in NPPESMay 8, 2020

Details

NPI
1639791007
Entity type
Organization (NPI-2)
Legal business name
Ccl Labs LLC
Organization subpart
No
Enumeration date
May 8, 2020
Certification date
May 8, 2020
Last updated
May 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

2700 Tibbets Dr Ste 102
Bedford, TX 76022-6900

Phone 844-990-1335 · Fax 855-631-0414

Mailing address

3720 E La Salle St Ste 104
Phoenix, AZ 85040-3976

Phone 844-990-1335 · Fax 855-631-0414

Authorized official

Ayaz Ahmad
President
8449901335

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