Organization
INFORM DIAGNOSTICS, INC.
Active
Parent organization
INFORM DIAGNOSTICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INFORM DIAGNOSTICS, INC.
Authorized official
RAYMOND CHRISTOPHER WICKER (VP, GENERAL MANAGER)
(678) 477-4402
Entity
Organization
Contact information
Practice address
10393 PARKSIDE DR, BRECKSVILLE, OH 44141-3802
(888) 290-5307
Mailing address
1111 S FREEPORT PKWY, COPPELL, TX 75019-4435
(888) 290-5307
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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