Organization
LAB TEST DX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAN HAROL (OWNER)
(860) 833-0489
Entity
Organization
Contact information
Practice address
200 CHISHOLM PL STE 107, PLANO, TX 75075-6939
(860) 833-0489
Mailing address
404 FIRE OPAL LN, HOLLY SPRINGS, NC 27540-6451
(860) 833-0489
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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