Organization
COMPANIONDX REFERENCE LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN WU PHARMD (PHARMACOGENOMIST)
(512) 762-6399
Entity
Organization
Contact information
Practice address
10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
(832) 701-0437
Mailing address
10301 STELLA LINK RD STE C, HOUSTON, TX 77025-5447
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
50580
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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