Organization
ELITEMED LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARR (AUTHORIZED OFFICIAL)
(917) 515-7500
Entity
Organization
Contact information
Practice address
4145 BELT LINE RD # 212-364, ADDISON, TX 75001-4324
(972) 789-9211
Mailing address
4145 BELT LINE RD # 212-364, ADDISON, TX 75001-4324
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2085972
TX
Other
Enumeration date
11/06/2014
Last updated
10/11/2024
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