Organization
DPG REFERENCE LAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY L BLACK (MANAGED CARE COORDINATOR)
(901) 725-7551
Entity
Organization
Contact information
Practice address
220 S CLAYBROOK ST, SUITE 401, MEMPHIS, TN 38104-3527
(901) 725-7551
(901) 726-6085
Mailing address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 725-7551
(901) 726-6085
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0453898
TN
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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