Cedar Creek Labs LLC

NPI #1407398241 in Del Valle, Texas

Provider Information

NPI Number
1407398241
Entity Type
Organization
Organization Name
Cedar Creek Labs LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Nov 10, 2016
Last Updated
Nov 10, 2016

Practice Location

Address
4200 BURCH DR STE C9
State
Texas
ZIP Code
78617-3234
Phone
(511) 714-9996

Authorized Official

Name
TY BRUGGEMAN
Title
OWNER
Phone
(281) 714-9996

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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