Organization
THERAGENE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFF BAUER (OWNER)
(704) 909-1040
Entity
Organization
Contact information
Practice address
7214 FM 1488 RD STE 107, MAGNOLIA, TX 77354-2762
(281) 409-2522
Mailing address
7214 FM 1488 RD STE 107, MAGNOLIA, TX 77354-2762
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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