Organization
MEDALLION DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE MCADA JR. (OWNER)
(972) 807-2147
Entity
Organization
Contact information
Practice address
2611 N BELT LINE RD, SUITE 162, SUNNYVALE, TX 75182-9301
(972) 807-2147
(972) 807-2089
Mailing address
2611 N BELT LINE RD, SUITE 162, SUNNYVALE, TX 75182-9301
(972) 807-2147
(972) 807-2089
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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