Organization
IN-VITRO DIAGNOSTICS INC
Active
Other names
SEROLAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM W MASON (PRESIDENT)
(512) 246-9000
Entity
Organization
Contact information
Practice address
7100 OLD MCGREGOR RD, SUITE A, WACO, TX 76712-6120
(512) 246-9000
Mailing address
PO BOX 400, ROUND ROCK, TX 78680-0400
(512) 246-9000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D0659993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000458394
—
AL
05
—
000461689A
—
GA
05
—
00112935
—
MS
05
—
002165800
—
ID
05
—
025301501
—
TX
05
—
0898613
—
OH
05
—
0924639
—
IA
05
—
100245010A
—
KS
05
—
100758840A
—
OK
05
—
105647600
—
WY
05
—
1066360
—
KY
05
—
115149709
—
AR
05
—
200507540A
—
IN
05
—
37902731
—
KY
05
—
5581210
—
SD
01
—
CLO394
BCBS OF TX PPO
TX
Enumeration date
04/04/2006
Last updated
06/13/2008
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