Organization
PROTIX LABORATORY AND MEDICAL GROUP
Active
Parent organization
NEW WAVE LABORATORY SERVICES, LLC
Other names
New Wave Laboratory Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW WAVE LABORATORY SERVICES, LLC
Authorized official
RONNI HEFNER (CEO)
(903) 327-6412
Entity
Organization
Contact information
Practice address
8200 STONEBROOK PKWY, FRISCO, TX 75034-5539
(903) 327-6412
Mailing address
8200 STONEBROOK PKWY STE 206, FRISCO, TX 75034-5588
(903) 327-6412
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
06/22/2015
Last updated
05/22/2020
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