Organization
SOUTHWEST LABS INC
Active
Other names
SOUTHWEST LABS
Organization subpart
No
Provider details
NPI number
Authorized official
DAN VELAZQUEZ (PRESIDENT)
(956) 971-8822
Entity
Organization
Contact information
Practice address
1201 S JACKSON RD, STE 2, PHARR, TX 78577-6859
(956) 971-8822
(956) 688-8230
Mailing address
1201 S JACKSON RD, STE 2, PHARR, TX 78577-6859
(956) 971-8822
(956) 688-8230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159017604
—
TX
Enumeration date
11/09/2006
Last updated
12/01/2008
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