Organization
USMD DIAGNOSTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS DUNLEAVY (CFO)
(214) 493-4000
Entity
Organization
Contact information
Practice address
1300 W TERRELL AVE, SUITE 404, FORT WORTH, TX 76104-2820
(214) 493-4002
Mailing address
6333 N. STATE HIGHWAY 161, STE 200, IRVING, TX 75038-2216
(214) 493-4000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
11/17/2016
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