MEDICARE: CLINICAL INVESTMENTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		TX

General Provider Information

NPI Number	:	1053850156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	12801 N STEMMONS FWY
Second Line	:	SUITE 826
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-5835
Country	:	US
Telephone Number	:	469-930-9598
Fax Number	:	469-930-9654

Provider Business Practice Location Address
First Line	:	12801 N STEMMONS FWY
Second Line	:	SUITE 826
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-5835
Country	:	US
Telephone Number	:	469-930-9598
Fax Number	:	469-930-9654

Authorized Official
Title or Position	:	EXECUTIVE ADMINISTRATOR
Name	:	STEPHANIE SWANN
Credential	:
Telephone Number	:	940-594-6203

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	02/22/2017

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Directions to “CLINICAL INVESTMENTS LLC ” Practice Location

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