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Organization

STAR DIAGNOSTICS OF TARRANT COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA L RILEY (ADMINSTRATOR)
(214) 943-9431
Entity
Organization

Contact information

Practice address
2100 N MAIN ST, LL20, FORT WORTH, TX 76106-8570
(214) 943-9431
(214) 943-9407
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9407

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8V5961
BCBS
TX
Enumeration date
05/17/2006
Last updated
01/23/2008
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