Southlake Diagnostics INC

NPI #1053723171 in Southlake, Texas

Provider Information

NPI Number: 1053723171
Entity Type: Organization
Organization Name: Southlake Diagnostics INC
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: May 23, 2014
Last Updated: Jul 22, 2021

Practice Location

Address: 580 COMMERCE ST
Address 2: SUITE 150
City: Southlake
State: Texas
ZIP Code: 76092-9155
Phone: (817) 421-7414

Authorized Official

Name: MR. DON STABLES JR.
Title: CEO
Phone: (617) 538-1748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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