Organization
INFORM DIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WOLF (SVP - CHIEF COMPLIANCE & ETHICS OFF)
(214) 596-2235
Entity
Organization
Contact information
Practice address
5 BRIDLE PATH, LONGVIEW, TX 75605-7266
(214) 277-8700
(214) 596-2280
Mailing address
6655 N MACARTHUR BLVD, ATTN: PROVIDER ENROLLMENT, IRVING, TX 75039-2443
(214) 277-8700
(214) 596-2280
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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