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THE TELOS GROUP NPI 1942960166


NPI Information

NPI: 1942960166
Provider Name: THE TELOS GROUP
Classification: Pathology - 247ZC0005X
Entity Type: Organization

Specialization: Clinical Laboratory Director, Non-physician

Address:
6975 DEER RUN DR
WATAUGA, TX
ZIP 76137
Phone: (817) 201-3828
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THE TELOS GROUP is a clinical laboratory director and non-physician pathology in Watauga, TX. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. THE TELOS GROUP NPI is 1942960166. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6975 DEER RUN DR
WATAUGA, TX
ZIP 76137-730
Phone: (817) 201-3828
Fax: (817) 766-7935

The provider's authorized official is Donald Jeremiah Hart .
The authorized official title is Owner and has the following contact phone number (214) 454-2417.

The enumeration date for this NPI number is 12/29/2021 and was last updated on 12/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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