Organization
BIOMERE DX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODIE LEE FLANDERS (OWNER)
(972) 773-9051
Entity
Organization
Contact information
Practice address
16300 ADDISON RD STE 120, ADDISON, TX 75001-5315
(972) 773-9051
Mailing address
16300 ADDISON RD STE 120, ADDISON, TX 75001-5315
(972) 773-9051
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2256762
CLIA
TX
Enumeration date
06/10/2022
Last updated
06/10/2022
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