Organization
CARDIOLAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO RODRIGUEZ JR. (DIRECTOR)
(956) 207-7812
Entity
Organization
Contact information
Practice address
3241 N 38TH ST, MCALLEN, TX 78501-3301
(956) 207-7812
(866) 624-4990
Mailing address
10331 N 24TH LN, MCALLEN, TX 78504-6286
(956) 207-7812
(866) 624-4990
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1091769
CLIA
—
01
—
CL1054
MEDICARE GROUP PTAN
TX
Enumeration date
01/08/2007
Last updated
08/07/2009
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