Organization
INFORM DIAGNOSTICS, INC
Active
Organization
INFORM DIAGNOSTICS, INC
Active
Other names
(f/k/a Caris Diagnostics, Inc.), (f/b/a) Miraca Life Sciences, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ARLENE SIMONDS (SVP, COMPLIANCE, ETHICS & QUALITY)
(214) 277-8700
Entity
Organization
Contact information
Practice address
9978 WASHINGTON ST, CAMP DENNISON, OH 45111-9717
(800) 979-8292
(972) 767-0126
Mailing address
6655 NORTH MACARTHUR BOULEVARD, ATTN: PROVIDER ENROLLMENT, IRVING, TX 75039-2443
(214) 596-7031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
10/27/2019
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