Organization
ASSURANCE LABS
Active
Other names
OnTime Mobile Phlebotomy Service
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK THOMPSON SR. (OWNER/PRESIDENT)
(469) 757-0114
Entity
Organization
Contact information
Practice address
6009 W PARKER RD # 208, PLANO, TX 75093-8120
(972) 439-0126
(214) 446-6899
Mailing address
6009 W PARKER RD # 208, PLANO, TX 75093-8120
(469) 757-0114
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-2823731
EINS
TX
Enumeration date
08/03/2018
Last updated
04/18/2022
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