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45D2171033 CLIA NUMBER - ENDOCRINOLOGY & DIABETES INSTITUTE OF NORTH TEXAS, PLLC

Laboratory Demographics

CLIA Number: 45D2171033

Facility Name: ENDOCRINOLOGY & DIABETES INSTITUTE OF NORTH TEXAS, PLLC

Facility Address:
920 E HIGHWAY 67 SUITE 100
DUNCANVILLE, TX
ZIP 75137
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Facility Phone Number: 972 296-5557

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1891353942

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 45D2171033
LAB Type Physician Office
Facility Name ENDOCRINOLOGY & DIABETES INSTITUTE OF NORTH TEXAS, PLLC
Street 920 E HIGHWAY 67 SUITE 100
City DUNCANVILLE
State TX
ZIP 75137
Phone 972 296-5557
CertificateType 4
CertificateEffectiveDate 8/23/2023
CertificateExpirationDate 8/22/2025
FacilityType Waiver

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