Grand Teton Diagnostics Corp
NPI #1023880861 in Richardson, Texas
Provider Information
- NPI Number
- 1023880861
- Entity Type
- Organization
- Organization Name
- Grand Teton Diagnostics Corp
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 25, 2023
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 1701 N COLLINS BLVD STE 1000
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3586
- Phone
- (214) 954-7483
Authorized Official
- Name
- MR. JUSTIN PETERSON
- Title
- CEO
- Phone
- (214) 954-7483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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