Mod Lab
Mod Lab is a Clinical Medical Laboratory in Dallas, Texas. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
4600 Greenville Ave Ste 240Dallas, TX 75206-5037
Phone: (615) 874-0410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1194968131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prost Data Inc |
| Authorized official | Jonathan Oppenheimer — Owner · (615) 874-0410 |
| Other names | Prost Data Inc |
| NPI enumerated | April 7, 2009 |
| Last updated in NPPES | April 7, 2009 |
| Mailing address | Po Box 291209, Nashville, TN 37229-1209 |
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