Organization
MEDLAB DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOTESHWARA NADIPALLI (PRESIDENT)
(972) 259-3718
Entity
Organization
Contact information
Practice address
616 N MACARTHUR BLVD, IRVING, TX 75061-7424
(972) 259-3718
(972) 259-2618
Mailing address
616 N MACARTHUR BLVD, IRVING, TX 75061-7424
(972) 259-3718
(972) 259-2618
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2093078
TX
Other
Enumeration date
11/23/2014
Last updated
06/30/2015
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