Organization
YDI CARE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R GURROLA (PRESIDENT)
(806) 392-7121
Entity
Organization
Contact information
Practice address
460 ASHLEY RIDGE BLVD, SUITE 100, SHREVEPORT, LA 71106-7228
(806) 392-7121
Mailing address
3610 AVENUE Q, SUITE 216, LUBBOCK, TX 79412-1246
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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