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Faces Of Angels Diagnostics LLC

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

NPI number1972115657
StatusActive
Last updated in NPPESMar 11, 2021

Details

NPI
1972115657
Entity type
Organization (NPI-2)
Legal business name
Faces Of Angels Diagnostics LLC
Organization subpart
No
Enumeration date
Aug 23, 2020
Certification date
Mar 11, 2021
Last updated
Mar 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

324 E Belt Line Rd Ste 412
Desoto, TX 75115-5706

Phone 214-514-1836

Mailing address

1924 Encino Dr
Lancaster, TX 75146-7214

Phone 214-514-1836

Authorized official

Janae Crenshaw
Owner
2145141836

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