Organization
CENTENNIAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM K DABLAH JR. M.D. (CEO/OWNER)
(404) 822-6845
Entity
Organization
Contact information
Practice address
3525 W FREDDY GONZALEZ DR, SUITE B, EDINBURG, TX 78539-8544
(956) 381-0440
(956) 381-0483
Mailing address
3525 W FREDDY GONZALEZ DR, SUITE B, EDINBURG, TX 78539-8544
(956) 381-0440
(956) 381-0483
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
03/15/2010
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