Organization
INTIRE TOX SCREEN
Active
Other names
Intire DIagnostic Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL DELBOSQUE (OWNER)
(469) 826-4294
Entity
Organization
Contact information
Practice address
517 N CARRIER PKWY STE H, GRAND PRAIRIE, TX 75050-5464
(214) 677-0639
(214) 677-0532
Mailing address
517 N CARRIER PKWY STE H, GRAND PRAIRIE, TX 75050-5464
(214) 677-0639
(214) 677-0532
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
12/03/2020
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