Organization
PREMIER PATHOLOGY LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THINH PHAN M.D. (OWNER)
(888) 416-8118
Entity
Organization
Contact information
Practice address
230 ED ENGLISH DR UNIT D, SHENANDOAH, TX 77385-8744
(936) 231-8027
(281) 476-7798
Mailing address
19073 NORTH I-45 FWY STE 145, SHENANDOAH, TX 77385-8744
(936) 231-8027
(281) 476-7798
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
07/15/2015
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