Southwest Direct Diagnostic Laboratory LLC
NPI #1023631579 in Richland Hills, Texas
Provider Information
- NPI Number
- 1023631579
- Entity Type
- Organization
- Organization Name
- Southwest Direct Diagnostic Laboratory LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 19, 2020
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 3901 POPPLEWELL ST
- City
- Richland Hills
- State
- Texas
- ZIP Code
- 76118-5101
- Phone
- (817) 616-5074
Authorized Official
- Name
- MANSOOR ALI SYED
- Title
- OWNER
- Phone
- (682) 313-0938
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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