Forensic 360 Laboratory

NPI #1093363228 in Desoto, Texas

Provider Information

NPI Number
1093363228
Entity Type
Organization
Organization Name
Forensic 360 Laboratory
Primary Specialty
Pathology - Forensic Pathology
Enumeration Date
Aug 30, 2019
Last Updated
Aug 30, 2019

Practice Location

Address
1801 N HAMPTON RD STE 270
City
Desoto
State
Texas
ZIP Code
75115-2399
Phone
(463) 222-1200

Authorized Official

Name
CINDY JOHNSON
Title
PROGRAM ADMINISTRATOR
Phone
(469) 222-1200

Specialties & Taxonomy Codes

Specialty
Pathology - Forensic PathologyForensic Pathology

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