Organization
METROPLEX NEMATOLOGY ONCOLOGY ASSOCIATES
Active
Other names
Immunodiagnostic Labs of TX Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KAREL ADRIAAN DICKE MD PHD (CEO MANAGING PARTNER)
(817) 261-4906
Entity
Organization
Contact information
Practice address
IMMUNODIAGNOSTIC LABS OF TX INC, ARLINGTON CANCER CENTER 900 W RANDOL MILL RD #102, ARLINGTON, TX 76012-2510
(817) 261-4906
(817) 261-5837
Mailing address
ARLINGTON CANCER CENTER, 906 W RANDOL MILL RD, ARLINGTON, TX 76012-2510
(817) 261-4906
(817) 261-5837
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014329
COLA
—
Enumeration date
11/30/2006
Last updated
08/22/2020
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