Organization
ABS LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON BERGERON (CEO)
(972) 469-4652
Entity
Organization
Contact information
Practice address
1600 WALLACE DR, SUITE 110, CARROLLTON, TX 75006-8006
(972) 241-1388
(972) 893-3403
Mailing address
1600 WALLACE DR, SUITE 100, CARROLLTON, TX 75006-8006
(972) 241-1388
(972) 893-3403
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1100319
CLIA
TX
Enumeration date
03/02/2017
Last updated
03/02/2017
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