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Organization

VIRTUE MEDICAL LABORATORIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE TRAZZERA M.D. (MANAGER)
(631) 834-9380
Entity
Organization

Contact information

Practice address
8851 ICE HOUSE DR, N RICHLAND HILLS, TX 76180-5300
(631) 834-9380
Mailing address
8851 ICE HOUSE DR, N RICHLAND HILLS, TX 76180-5300

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
08/14/2013
Last updated
08/14/2013
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