Advanta Toxicology, Llc

NPI 1134559685 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1134559685
Enumeration Date 11/20/2013
Last Updated 03/19/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERT ROBERT
Position MANAGER
Phone (903) 805-9955
Fax (903) 839-2494
Practice Location
10935 COUNTY ROAD 159
SUITE 101
TYLER TX, 75703-3333, US
Phone (903) 805-9955
Fax (903) 839-2494
Business Location
PO BOX 9600
DEPT # 09-053
TEXARKANA TX, 75505-9600, US
Phone (903) 805-9955
Fax (903) 839-2494
Toxanomy
Taxonomy Code 291U00000X
License State
License Number
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According to our database, Advanta Toxicology, Llc NPI is 1134559685, taxonomy code is 291U00000X Advanta Toxicology, Llc physically located at 10935 County Road 159, Tyler TX, 75703-3333. NPI Number 1033115704 has the healthcare provider type.

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1134559685 NPI number is provided on an as is basis without warranty of any kind. 1134559685 is maintained by the National Plan & Provider Enumeration System. The contents of Advanta Toxicology, Llc are for informational purposes only.