Ivy Diagnostics LLC

NPI #1821742701 in Allen, Texas

Provider Information

NPI Number
1821742701
Entity Type
Organization
Organization Name
Ivy Diagnostics LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 9, 2022
Last Updated
Feb 9, 2022

Practice Location

Address
915 W EXCHANGE PKWY STE 280
City
Allen
State
Texas
ZIP Code
75013-7031
Phone
(972) 922-5321

Authorized Official

Name
DR. ALICIA RONNETTE GRAY, DMD
Title
DIRECTOR
Phone
(972) 922-5321

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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