Maxum Health Services Corp
Physiological Laboratory in Dallas, TX. Organization (NPI-2).
NPI number1760655294
StatusActive
Last updated in NPPESApr 4, 2008
Details
- NPI
- 1760655294
- Entity type
- Organization (NPI-2)
- Legal business name
- Maxum Health Services Corp
- Organization subpart
- Yes
- Enumeration date
- Apr 4, 2008
- Last updated
- Apr 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Other names
- Insight Diag Forest Ln (Doing Business As)
Practice location
11617 N Central ExpyMobile Unit
Dallas, TX 75243-3800
Phone 214-369-3795
Mailing address
Po Box 848074Dallas, TX 75284-8074
Authorized official
Brian G Drazba
Senior Vp & Chief Accounting Ofcr
9492826000
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