Organization
SOUTHWEST DIAGNOSTIC CLINIC LLP
Active
Other names
Outreach Diagnostic Lab
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA W COCHRAN (ACCOUNTING MANAGER)
(806) 771-5550
Entity
Organization
Contact information
Practice address
3801 50TH STREET, LUBBOCK, TX 79413-3859
(806) 771-5550
(806) 771-5550
Mailing address
PO BOX 6248, LUBBOCK, TX 79493-6248
(806) 771-5550
(806) 771-5544
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
F9739
TX
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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