Organization
FULL SPECTRUM LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PRAKASAH KRISHNARAJ (CFO)
(903) 487-2248
Entity
Organization
Contact information
Practice address
2624 N LOY LAKE RD, SUITE B, SHERMAN, TX 75090-2515
(903) 487-2248
(903) 487-2306
Mailing address
PO BOX 837, HOWE, TX 75459-0837
(903) 487-2248
(903) 487-2306
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/12/2015
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