Organization
VITAL CLINICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHEVOND KECHYAN (CEO)
(469) 906-1005
Entity
Organization
Contact information
Practice address
16910 DALLAS PKWY STE 102, DALLAS, TX 75248-1927
(469) 906-1005
(469) 906-1006
Mailing address
16910 DALLAS PKWY STE 102, DALLAS, TX 75248-1927
(469) 906-1005
(469) 906-1006
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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