Organization
NANOSCOPE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID CARLSON BS (LAB MANAGER)
(214) 475-3540
Entity
Organization
Contact information
Practice address
1624 NEW YORK AVE, ARLINGTON, TX 76010-4724
(682) 252-4425
Mailing address
1624 NEW YORK AVE, ARLINGTON, TX 76010-4724
(682) 252-4425
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/23/2020
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