Stat Diagnostic Lab LLC

NPI #1902931207 in Desoto, Texas

Provider Information

NPI Number
1902931207
Entity Type
Organization
Organization Name
Stat Diagnostic Lab LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 23, 2007
Last Updated
Jun 5, 2008

Practice Location

Address
509 N HAMPTON RD
Address 2
SUITE 204
City
Desoto
State
Texas
ZIP Code
75115-4970
Phone
(972) 230-2323

Authorized Official

Name
MS. DELIA DELORES BOOKER
Title
PRESIDENT
Phone
(214) 434-4032

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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