Organization
MARREO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETTA MARRERO (ADMINISTRATOR)
(817) 784-7464
Entity
Organization
Contact information
Practice address
8204 ELMBROOK DR STE 258, DALLAS, TX 75247-4067
(817) 784-7464
Mailing address
8204 ELMBROOK DR STE 258, DALLAS, TX 75247-4067
(817) 784-7464
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2248679
CLIA WAIVER
TX
Enumeration date
01/28/2022
Last updated
01/28/2022
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