45D1039466 CLIA NUMBER - GREGG L SMALL MD PA

Laboratory Demographics

CLIA Number: 45D1039466

Facility Name: GREGG L SMALL MD PA

Facility Address:
9301 N CENTRAL EXPRESSWAY,SUITE 590
DALLAS, TX
ZIP 75231
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Facility Phone Number: 214 265-6001

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1356384358

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	45D1039466
LAB Type	Physician Office
Facility Name	GREGG L SMALL MD PA
Street	9301 N CENTRAL EXPRESSWAY,SUITE 590
City	DALLAS
State	TX
ZIP	75231
Phone	214 265-6001
CertificateType	3
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024