Organization
DAVID'S STONE CONTRACTING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILLIS MHA (LABORATORY DIRECTOR)
(254) 419-0462
Entity
Organization
Contact information
Practice address
3504 SANDS LN, KILLEEN, TX 76549-6036
(254) 419-0462
Mailing address
3504 SANDS LN, KILLEEN, TX 76549-6036
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2247678
CLIA NUMBER
TX
Enumeration date
03/24/2022
Last updated
03/24/2022
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