Organization
ELEVATE LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE PORTER (OWNER)
(214) 533-0587
Entity
Organization
Contact information
Practice address
4901 ALPHA RD STE 300, DALLAS, TX 75244-4610
(972) 338-9113
Mailing address
4901 ALPHA RD, DALLAS, TX 75244-4610
(913) 547-1619
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
05/28/2021
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