Organization
PHR LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VILLARREAL JR. MLT (DIRECTOR OF LABORATORY SERVICES)
(817) 590-9599
Entity
Organization
Contact information
Practice address
7339 AIRPORT FWY, RICHLAND HILLS, TX 76118-6902
(817) 590-9599
(817) 590-9499
Mailing address
7339 AIRPORT FWY, RICHLAND HILLS, TX 76118-6902
(817) 590-9599
(817) 590-9499
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2099209
CLIA
TX
Enumeration date
05/05/2015
Last updated
08/11/2015
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