Organization
ELEVATE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN THOMPSON (MANAGER)
(800) 447-1283
Entity
Organization
Contact information
Practice address
535 S NOLEN DR STE 200, SOUTHLAKE, TX 76092-9194
(800) 447-1283
Mailing address
535 S NOLEN DR STE 200, SOUTHLAKE, TX 76092-9194
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
04/12/2018
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