Organization
NUVO DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ANTHONY LAKE MT, CHT (LABORATORY MANAGER)
(214) 828-4702
Entity
Organization
Contact information
Practice address
3409 OAK GROVE AVE, DALLAS, TX 75204-2332
(214) 828-4702
(214) 370-5130
Mailing address
2909 LEMMON AVE, DALLAS, TX 75204-2311
(214) 828-4702
(214) 370-5130
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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