Organization
EXCELLENT PHLEBOTOMY LAB SERVICES LLC
Active
Other names
EP Lab Service
Organization subpart
No
Provider details
NPI number
Authorized official
LATRILLA CASSEY (OWNER)
(405) 748-0207
Entity
Organization
Contact information
Practice address
1615 OSPREY DR STE 107, DESOTO, TX 75115-2427
(469) 930-5842
(866) 315-5210
Mailing address
1615 OSPREY DR STE 107, DESOTO, TX 75115-2427
(469) 930-5842
(866) 315-5210
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/20/2020
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