Organization
DIAGNOSTIC VIROLOGY LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R NICKENS (EXECUTIVE DIRECTOR)
(713) 798-1710
Entity
Organization
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(713) 798-1750
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
E8430
TX
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
Update your record
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