Organization
ENRIQUEZ GROUP, INC.
Active
Other names
4D Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO ENRIQUEZ (PRESIDENT)
(972) 613-5793
Entity
Organization
Contact information
Practice address
2944 MOTLEY DR, SUITE105, MESQUITE, TX 75150-3460
(972) 613-5793
Mailing address
PO BOX 870518, MESQUITE, TX 75187-0518
(972) 613-5793
(972) 613-7236
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
TX
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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