Organization
DTR LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE LARKIN TRIMBLE (MANAGING PARTNER)
(817) 901-8144
Entity
Organization
Contact information
Practice address
2150 JUSTIN RD, STE. 300, HIGHLAND VILLAGE, TX 75077-7163
(866) 387-5227
(469) 702-6037
Mailing address
2150 JUSTIN RD, STE. 300, HIGHLAND VILLAGE, TX 75077-7163
(469) 702-6015
(469) 702-6037
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366760201
—
TX
Enumeration date
11/05/2014
Last updated
12/04/2019
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