Organization
CONCENTRA LABORATORY LLC
Active
Other names
Advanced Toxicology Network
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J MUSSATTO (PRESIDENT AND CEO)
(901) 370-5184
Entity
Organization
Contact information
Practice address
3560 AIR CENTER CV, SUITE 101, MEMPHIS, TN 38118-3626
(901) 794-5770
(901) 794-6460
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
10/09/2012
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