Organization
REALTIME LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FRAUSING (CEO)
(206) 365-1256
Entity
Organization
Contact information
Practice address
4100 FAIRWAY DR STE 600, CARROLLTON, TX 75010-6539
(972) 492-0419
(972) 243-7759
Mailing address
2540 KING ARTHUR BLVD STE 200, LEWISVILLE, TX 75056-5833
(972) 492-0419
(972) 243-7759
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105744-01
—
TX
Enumeration date
10/03/2011
Last updated
09/26/2024
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