Organization
OUTSPAN LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC K SIMOTWO LVN (PRESIDENT)
(214) 334-2209
Entity
Organization
Contact information
Practice address
4701 CHARLES PL, # 1534, PLANO, TX 75093-7456
(214) 334-2209
Mailing address
4701 CHARLES PL, # 1534, PLANO, TX 75093-7456
(214) 334-2209
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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