Organization
CLINICAL DIAGNOSTICS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUP TILAK (OWNER)
(319) 594-4108
Entity
Organization
Contact information
Practice address
570 S EDMONDS LN STE 108A, LEWISVILLE, TX 75067-3542
(319) 594-4108
Mailing address
570 S EDMONDS LN STE 108A, LEWISVILLE, TX 75067-3542
(319) 594-4108
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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