Organization
INTEGRON LLC
Active
Other names
Advanced Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE JOSEPH KOEPPLER (CEO)
(920) 217-3519
Entity
Organization
Contact information
Practice address
5139 SHARP STREET, DALLAS, TX 75247
(214) 225-1230
Mailing address
5139 SHARP STREET, DALLAS, TX 75247
(214) 225-1230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
05/23/2019
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