Contract Details
Ancillary Care Services
Facility name
North Texas Pathology Laboratories
Provider ID
P000005011
NPI
1649479213
Tax ID
260858244
Effective Date
4/1/2012
Last Updated
10/23/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
7501 Lakeview Parkway Suite 150
Rowlett, TX 75088
United States
County
Dallas
Phone
9725260342 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address