Imperial Healthcare LLC
Clinical Medical Laboratory in Dallas, TX. Organization (NPI-2).
NPI number1962145292
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1962145292
- Entity type
- Organization (NPI-2)
- Legal business name
- Imperial Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2022
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
9319 Lyndon B Johnson Fwy Ste 208cDallas, TX 75243-3453
Phone 847-858-6620
Mailing address
9319 Lyndon B Johnson Fwy Ste 208cDallas, TX 75243-3453
Authorized official
Syed Alikhan
Ceo/Owner
8478586620
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