45D2152612 CLIA NUMBER - NORTH STAR FP, LP

Laboratory Demographics

CLIA Number: 45D2152612

Facility Name: NORTH STAR FP, LP

Facility Address:
11970 N CENTRAL EXPY STE 100
DALLAS, TX
ZIP 75243
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Facility Phone Number: 469 347-3988

Facility Type: Other - IMAGING CENTER

Certificate Type: Waiver

NPI Number: 1033630835

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D2152612
LAB Type	Other - IMAGING CENTER
Facility Name	NORTH STAR FP, LP
Street	11970 N CENTRAL EXPY STE 100
City	DALLAS
State	TX
ZIP	75243
Phone	469 347-3988
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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