Organization
TRIDENT DIAGNOSTICS LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEYED M M FAIZU (OWNER)
(312) 843-8373
Entity
Organization
Contact information
Practice address
1840 N GREENVILLE AVE STE 178, RICHARDSON, TX 75081-1898
(214) 758-7755
(214) 758-7754
Mailing address
1840 N GREENVILLE AVE STE 178, RICHARDSON, TX 75081-1898
(214) 756-7755
(214) 758-7704
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/20/2015
Last updated
05/23/2023
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