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Organization

MAPLEWOOD LABORATORIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY HAYES (OWNER)
(817) 226-6900
Entity
Organization

Contact information

Practice address
2515 INWOOD RD, STE 107, DALLAS, TX 75235
(469) 802-8301
(469) 802-8306
Mailing address
2515 INWOOD RD, STE 107, DALLAS, TX 75235
(469) 802-8301
(469) 802-8306

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2015778
TX
291U00000X
Clinical Medical Laboratory

Other

Enumeration date
12/16/2011
Last updated
03/30/2016
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