Legacy Medical Lab Services, LLC

NPI #1902111610 in Hewitt, Texas

Provider Information

NPI Number
1902111610
Entity Type
Organization
Organization Name
Legacy Medical Lab Services, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Aug 18, 2010
Last Updated
Apr 4, 2011

Practice Location

Address
688 ALLIANCE PKWY
Address 2
SUITE #200
City
Hewitt
State
Texas
ZIP Code
76643-3585
Phone
(254) 420-4522

Authorized Official

Name
MRS. LISA KAY RAHIMI
Title
VICE PRESIDENT
Phone
(254) 732-3658

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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