Organization
INHEALTH DIAGNOSTIC, LLC
Active
Other names
Real Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXI BETHEL (MANAGER)
(972) 674-1913
Entity
Organization
Contact information
Practice address
17742 PRESTON RD SUITE #210, DALLAS, TX 75252-6199
(972) 674-1913
(903) 224-8322
Mailing address
17742 PRESTON RD SUITE #210, DALLAS, TX 75252-6199
(972) 674-1913
(903) 224-8322
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2117218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364590501
—
TX
Enumeration date
08/22/2016
Last updated
07/23/2019
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