Organization
GOTO LAB EXPRESS TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN VILLAFANE JR. (DIRECTOR)
(972) 552-0794
Entity
Organization
Contact information
Practice address
1300 W WALNUT HILL LN STE 256, IRVING, TX 75038-2914
(972) 552-0794
Mailing address
10522 S CICERO AVE STE 407, OAK LAWN, IL 60453-5295
(972) 552-0794
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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