Organization
THE SIMIAN DIAGNOSTIC LABORATORY, LTD
Active
Other names
VRL LABS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON A BERGER (PRESIDENT)
(210) 615-7275
Entity
Organization
Contact information
Practice address
7540 LOUIS PASTEUR, STE 250, SAN ANTONIO, TX 78229-4018
(210) 615-7275
Mailing address
PO BOX 40100, SAN ANTONIO, TX 78229-1100
(210) 615-7275
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1081732
CLIA
—
Enumeration date
05/22/2008
Last updated
05/22/2008
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