Organization
LABS 2 GO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODGER DANIEL REID PA-C, RN (DIRECTOR)
(817) 901-7855
Entity
Organization
Contact information
Practice address
2909 YOAKUM ST, FORT WORTH, TX 76108-8906
(817) 901-7855
Mailing address
2909 YOAKUM ST, FORT WORTH, TX 76108-8906
(817) 901-7855
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PA07124
TX
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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