Organization
DELTA DIAGNOSTIC LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VAHID AFSHAR (LAB DIRECTOR)
(409) 832-1616
Entity
Organization
Contact information
Practice address
3480 FANNIN ST, SUITE L, BEAUMONT, TX 77701-3814
(409) 832-1616
(409) 832-5747
Mailing address
3480 FANNIN ST, SUITE L, BEAUMONT, TX 77701-3814
(409) 832-1616
(409) 832-5747
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
12/01/2005
Last updated
08/22/2020
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