Organization
MDCONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCOTT GREVIOUS (OWNER)
(941) 914-8286
Entity
Organization
Contact information
Practice address
17300 DALLAS PKWY STE 3010, DALLAS, TX 75248-7710
(972) 532-0151
Mailing address
17300 DALLAS PKWY STE 3010, DALLAS, TX 75248-7710
(972) 532-0151
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
01/11/2023
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