Organization
CHARLOTTE VDOVYCHENKO
Active
Other names
Central Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE B VDOVYCHENKO M(ASCP) (DIRECTOR)
(817) 915-1800
Entity
Organization
Contact information
Practice address
703 MCKINNEY AVE, DALLAS, TX 75202-1007
(817) 915-1800
(682) 503-6649
Mailing address
PO BOX 59, EULESS, TX 76039-0059
(817) 915-1800
(682) 503-6649
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D1073121
TX
Other
Enumeration date
01/29/2008
Last updated
11/19/2008
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