Organization
HIS GRACE MEDICAL, LLC
Active
Other names
LABS AT HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBENEZER ALABI (PARTNER)
(817) 704-8081
Entity
Organization
Contact information
Practice address
1635 W DIVISION ST, SUITE A, ARLINGTON, TX 76012-3810
(817) 704-8081
Mailing address
PO BOX 153202, ARLINGTON, TX 76015-9202
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1091543
TX
Other
Enumeration date
10/14/2011
Last updated
10/29/2012
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