Prodigy Toxicology LLC
NPI #1881097509 in Flower Mound, Texas
Provider Information
- NPI Number
- 1881097509
- Entity Type
- Organization
- Organization Name
- Prodigy Toxicology LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 8, 2014
- Last Updated
- Oct 21, 2014
Practice Location
- Address
- 3861 LONG PRAIRIE RD STE 109
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-1799
- Phone
- (214) 513-8700
Authorized Official
- Name
- KIM SIVARAMAN
- Title
- BILLING MANAGER
- Phone
- (214) 618-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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