Organization
PACIFIC LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT BRADY PATTON (MANAGING DIRECTOR)
(940) 435-0242
Entity
Organization
Contact information
Practice address
1000 JOHNSON ST, DENTON, TX 76205-1210
(940) 435-0242
(940) 435-0368
Mailing address
1000 JOHNSON ST, DENTON, TX 76205-1210
(940) 435-0242
(940) 435-0368
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL1132
MEDICARE
TX
Enumeration date
05/19/2010
Last updated
09/03/2010
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