Legacy Diagnostic Lab LLC
NPI #1114539046 in Richardson, Texas
Provider Information
- NPI Number
- 1114539046
- Entity Type
- Organization
- Organization Name
- Legacy Diagnostic Lab LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 21, 2020
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 1651 N COLLINS BLVD # 135
- City
- Richardson
- State
- Texas
- ZIP Code
- 75080-3658
- Phone
- (469) 872-0008
Authorized Official
- Name
- OTHMAN ALBDOUR
- Title
- OWNER
- Phone
- (678) 755-9468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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