Organization
SUN CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASANNA ATHYALA (PRESIDENT)
(432) 230-6717
Entity
Organization
Contact information
Practice address
102 PALO ALTO RD, SUITE 245, SAN ANTONIO, TX 78211-3758
(210) 922-6600
(210) 922-6605
Mailing address
102 PALO ALTO RD, SUITE 245, SAN ANTONIO, TX 78211-3758
(210) 922-6600
(210) 922-6605
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
03/16/2014
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