Organization
MED DIAGNOSTIC LABORATORY TX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE WHARTON (OWNER)
(954) 369-7253
Entity
Organization
Contact information
Practice address
26710 INTERSTATE 45 N STE C200, SPRING, TX 77386-1019
(954) 369-7253
Mailing address
499 NW 70TH AVE STE 204, PLANTATION, FL 33317-7573
(954) 369-7253
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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