Promus Diagnostics, LLC

NPI #1033680681 in Southlake, Texas

Provider Information

NPI Number: 1033680681
Entity Type: Organization
Organization Name: Promus Diagnostics, LLC
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: Dec 7, 2018
Last Updated: May 8, 2025

Practice Location

Address: 525 S KIMBALL AVE
City: Southlake
State: Texas
ZIP Code: 76092-8064
Phone: (817) 778-9210

Authorized Official

Name: MR. VICTOR SANSONE III
Title: OWNER
Phone: (817) 778-9210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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