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Organization
FORENSIC 360 LABORATORY
Active
Organization
FORENSIC 360 LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JOHNSON (PROGRAM ADMINISTRATOR)
(469) 222-1200
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD STE 270, DESOTO, TX 75115-2399
(463) 222-1200
Mailing address
1801 N HAMPTON RD STE 270, DESOTO, TX 75115-2399
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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