MEDICARE: PORT ARTHUR DX CORP

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

General Provider Information

NPI Number	:	1477492528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PORT ARTHUR DX CORP

Provider Business Mailing Address
First Line	:	10100 N CENTRAL EXPY STE 160
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4152
Country	:	US
Telephone Number	:	971-280-3326
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 N CENTRAL EXPY STE 160
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4152
Country	:	US
Telephone Number	:	971-280-3326
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRENNAN SCHILLING
Credential	:
Telephone Number	:	971-280-3326

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “PORT ARTHUR DX CORP ” Practice Location

Language	Start Address	Practice Location

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