Organization
SPECTRUM DIAGNOSTIC LABS, LLC
Active
Other names
SPECTRUM DIAGNOSTIC LABS
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY KENNETH HOLLOWAY (PRESIDENT)
(682) 622-8858
Entity
Organization
Contact information
Practice address
209 BILLINGS ST, 420, ARLINGTON, TX 76010-2474
(682) 622-8858
Mailing address
512 N HAMPTON RD # 261, DESOTO, TX 75115-4920
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
07/24/2014
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