Organization
INFORM DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SUE PIRTZ (VP, MANAGED CARE)
(480) 309-2674
Entity
Organization
Contact information
Practice address
101B VILLA DR, SUITE 108, DAPHNE, AL 36526-4653
(800) 979-8292
Mailing address
6655 N MACARTHUR BLVD, ATTN: MANAGED CARE DEPARTMENT, IRVING, TX 75039-2443
(214) 596-7031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/27/2018
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