Primary Pinnacle Diagnostic LLC
Clinical Medical Laboratory in Bedford, TX. Organization (NPI-2).
NPI number1972014116
StatusActive
Last updated in NPPESOct 19, 2017
Details
- NPI
- 1972014116
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Pinnacle Diagnostic LLC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2017
- Last updated
- Oct 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1903 Central Dr Ste 215Bedford, TX 76021-5876
Phone 817-786-8991 · Fax 214-261-5155
Mailing address
Po Box 1138Allen, TX 75013-0018
Phone 972-665-9930 · Fax 214-261-5155
Authorized official
Ronna Brooks
Vp Revenue Cycle
9726659930
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