Organization
INTUIT DIAGNOSTIC LABORATORY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KING (VICE PRESIDENT, FINANCE)
(817) 454-3043
Entity
Organization
Contact information
Practice address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
(817) 454-3043
Mailing address
4225 OFFICE PKWY, DALLAS, TX 75204-3628
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2086654
TX
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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