Organization
XYZ MOLECULAR DIAGNOSTIC LAB CONSULTING
Active
Other names
XYZ Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEQIN YANG GREGG (CHIEF OPERATION OFFICER)
(512) 584-7589
Entity
Organization
Contact information
Practice address
2009 RANCH ROAD 620 N SUITE 325, AUSTIN, TX 78734-2601
(512) 584-7589
Mailing address
1502 WESTLAKE DR, WEST LAKE HILLS, TX 78746-3722
(512) 584-7589
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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