EAST TEXAS REFERRAL AND TESTING, LLC
Medical Laboratory at Central Expy, Dallas, TX

License number
Texas 45D2090810
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DEAN VISKOVICH ESQ.
Title: VICE PRESIDENT OF LEGAL
Phone: (972) 630-6443
Address
Address
9301 N Central Expy, Dallas, TX 75231
National Provider ID: 1407240740
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST TEXAS REFERRAL AND TESTING LLC

9301 N Central Expy #2, Dallas, TX 75231

Doing business as:
East Texas Referral and Testing LLC<br>Referral and Testing of East Texas LLC
Registration:
Mar 6, 2015
State ID:
0802170771
Business type:
DBA REFERRAL AND TESTING OF EAST TEXAS LLC
Entity State:
DE
Governing Person:
Frank G. Howard (Governing Person)
Agent:
Frank G. Howard Jr,9301 N Central Expy, Dallas, TX 75231 (Physical)
TIN:
32056597670

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