Organization
ENOVA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMAD M HADIAN (AUTHORIZED OFFICIAL)
(817) 410-8886
Entity
Organization
Contact information
Practice address
2860 EXCHANGE BLVD STE 180, SOUTHLAKE, TX 76092-9151
(817) 410-8886
(817) 410-8887
Mailing address
2860 EXCHANGE BLVD STE 180, SOUTHLAKE, TX 76092-9151
(817) 410-8886
(817) 410-8887
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
08/11/2021
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