Organization
PRIMARY PINNACLE DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNA BROOKS (VP REVENUE CYCLE)
(972) 665-9930
Entity
Organization
Contact information
Practice address
1903 CENTRAL DR STE 215, BEDFORD, TX 76021-5876
(817) 786-8991
(214) 261-5155
Mailing address
PO BOX 1138, ALLEN, TX 75013-0018
(972) 665-9930
(214) 261-5155
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/19/2017
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