Organization
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Active
Parent organization
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Other names
Metroplex Medical Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPLEX HEMATOLOGY ONCOLOGY ASSOCIATES
Authorized official
KAREL ADRIAAN DICKE MD PHD (CEO & MANAGING PARTNER)
(817) 261-4906
Entity
Organization
Contact information
Practice address
906 W RANDOL MILL RD, ARLINGTON CANCER CENTER, ARLINGTON, TX 76012-2510
(817) 261-4906
(817) 261-5837
Mailing address
PO BOX 974315, METROPLEX MEDICAL LAB, DALLAS, TX 75397-4315
(817) 261-4906
(817) 543-4675
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014328
COLA
—
01
—
014329
COLA
—
05
—
121904003
—
TX
01
—
45D0484531
CLIA (CMS)
—
01
—
45D0659783
CLIA (CMS)
—
Enumeration date
08/15/2005
Last updated
05/08/2008
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