Centennial Laboratory, LLC

NPI #1346470663 in Edinburg, Texas

Provider Information

NPI Number
1346470663
Entity Type
Organization
Organization Name
Centennial Laboratory, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 21, 2009
Last Updated
Mar 15, 2010

Practice Location

Address
3525 W FREDDY GONZALEZ DR
Address 2
SUITE B
State
Texas
ZIP Code
78539-8544
Phone
(956) 381-0440

Authorized Official

Name
DR. WILLIAM K DABLAH JR., M.D.
Title
CEO/OWNER
Phone
(404) 822-6845

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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