Organization
IMPERIUM HEALTH RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CRUMPLER (CEO)
(682) 593-6262
Entity
Organization
Contact information
Practice address
8821 DAVIS BLVD, STE 100, KELLER, TX 76248
(281) 806-9544
(877) 576-4230
Mailing address
8821 DAVIS BLVD, STE 100, KELLER, TX 76248
(682) 593-6262
(877) 576-4230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2094568
CLIA
TX
Enumeration date
09/10/2015
Last updated
01/30/2017
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