Organization
TITAN DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUESHYANT REZAEI (OWNER)
(972) 400-2649
Entity
Organization
Contact information
Practice address
4809 COLE AVE, 346, DALLAS, TX 75205-3578
(972) 400-2649
Mailing address
4809 COLE AVE, 346, DALLAS, TX 75205-3578
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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