Organization
DIRECT DIAGNOSTIC LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ELLIOTT (OWNER)
(404) 435-9685
Entity
Organization
Contact information
Practice address
9900 WESTPARK DR STE 355, HOUSTON, TX 77063-5377
(404) 435-9685
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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