Organization
LEGACY LABS LLC
Active
Other names
Veridia Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JEFFERSON (DIRECTOR REVENUE CYCLE)
(512) 770-1698
Entity
Organization
Contact information
Practice address
106 E OLD SETTLERS BLVD STE D106, ROUND ROCK, TX 78664
(512) 770-1700
(510) 373-2382
Mailing address
106 E OLD SETTLERS BLVD STE D106, ROUND ROCK, TX 78664-2541
(512) 770-1700
(510) 373-2382
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
08/31/2018
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