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NPI Code Detail

MEDICARE: DRL LABS LTD

MEDICARE: DRL LABS LTD
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
1291U00000XClinical Medical LaboratoryLA

General Provider Information

NPI Number : 1871629766
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRL LABS LTD
Provider Business Mailing Address
First Line : PO BOX 6640
Second Line :
City : TYLER
State : TX
Zip : 75711-6640
Country : US
Telephone Number : 903-594-2456
Fax Number : 903-594-2438
Provider Business Practice Location Address
First Line : 1470 GARRETT RD
Second Line :
City : MONROE
State : LA
Zip : 71202-3913
Country : US
Telephone Number : 903-594-2456
Fax Number : 903-594-2438
Authorized Official
Title or Position : BILLING MANAGER
Name : MRS. TIFFANY LEWIS
Credential :
Telephone Number : 903-594-2456
Provider Enumeration Date : 02/26/2007
Last Update Date : 08/22/2020

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