Organization
TOTAL CARE LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M MOORE MD (DIRECTOR)
(972) 867-9135
Entity
Organization
Contact information
Practice address
17300 DALLAS PKWY STE 3010, DALLAS, TX 75248-7710
(972) 532-0151
(972) 532-0353
Mailing address
9707 HARPERS LN APT 445, COPPELL, TX 75019-5754
(941) 914-8286
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2025312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2025312
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS
TX
Enumeration date
08/01/2011
Last updated
12/02/2022
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