Organization
RESERVE DIAGNOSTIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRESH PATEL (CONSULTANT)
(713) 443-8523
Entity
Organization
Contact information
Practice address
2010S SE 1ST ST, MINERAL WELLS, TX 76067-5605
(844) 257-3737
Mailing address
9032 TYNE TRL, FORT WORTH, TX 76118-7501
(844) 257-3737
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2251692
CLIA
TX
Enumeration date
03/14/2022
Last updated
04/14/2022
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