Organization
EAST TEXAS CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN VISKOVICH (VP OF COMPLIANCE)
(972) 630-6400
Entity
Organization
Contact information
Practice address
9301 NORTH CENTRAL EXPRESSWAY, TOWER 2 SUITE 335A, DALLAS, TX 75231
(972) 630-6400
Mailing address
9301 NORTH CENTRAL EXPRESSWAY, TOWER 2 SUITE 335A, DALLAS, TX 75231
(972) 630-6400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
10/27/2016
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