Organization
MOLECULAR MEDICAL LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERTHA ALICIA CARDONA (OWNER)
(956) 581-0700
Entity
Organization
Contact information
Practice address
2218 W MILE 5 RD, MISSION, TX 78574-4935
(956) 581-0700
(956) 581-0701
Mailing address
2218 W MILE 5 RD, MISSION, TX 78574-4935
(956) 581-0700
(956) 581-0701
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2020075
TX
Other
Enumeration date
02/22/2011
Last updated
06/13/2011
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