Organization
ABS LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ROCHWERG (AUTHORIZED PERSON)
(917) 817-6482
Entity
Organization
Contact information
Practice address
2404 ARBUCKLE CT, DALLAS, TX 75229-4506
(214) 364-6850
Mailing address
1600 WALLACE DR, SUITE 100, CARROLLTON, TX 75006-8006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21975
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21975
COLA
—
Enumeration date
06/29/2016
Last updated
06/29/2016
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