Mod Lab is a Clinical Medical Laboratory based in Nashville, TX. Mod Lab practices in Dallas, TX. The NPI Number for Mod Lab is 1194968131 and holds a License No. (Texas).
The current practice location address for Mod Lab is 4600 Greenville Avenue, Dallas, TX and can be reached out via phone at 615-874-0410.
Location: 4600 Greenville Avenue, Dallas, TX, 37229-1209
Provider Profile Details
NPI Number
1194968131
Provider Name
Mod Lab
Credential
Provider Entity Type
Organization
Address
4600 Greenville Avenue, Dallas, TX, 37229-1209
Phone Number
615-874-0410
Fax Number
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1036151 | 01 | CLIA |
Provider Business Practice Location Address Details
Address
4600 Greenville Avenue
City
State
Zip
75206-5037
Phone Number
615-874-0410
Fax Number
Provider Business Mailing Address Details
Address
4600 Greenville Avenue
City
State
Zip
75206-5037
Phone Number
615-874-0410
Fax Number
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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