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Forensic 360 Laboratory Diagnostic

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

NPI number1639964026
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1639964026
Entity type
Organization (NPI-2)
Legal business name
Forensic 360 Laboratory Diagnostic
Organization subpart
No
Enumeration date
Apr 14, 2025
Certification date
Apr 14, 2025
Last updated
Apr 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Other names

  • Forensic 360 Lab (Doing Business As)

Practice location

1801 N Hampton Rd Ste 300
Desoto, TX 75115-2399

Phone 469-222-1200 · Fax 214-432-1700

Mailing address

1801 N Hampton Rd Ste 300
Desoto, TX 75115-2399

Phone 469-222-1200 · Fax 214-432-1700

Authorized official

Cindy Johnson
Lab Manager
4692221200

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