Organization · Type 2 NPI

Trinity Clinic

Clinical Medical Laboratory · Tyler, TX

NPI number 1679798714 Active

Practice location

3200 Troup Hwy, Ste 110
Tyler, TX 75701-8359

Call (903) 510-1125 Map

Mailing address

PO Box 5500
Tyler, TX 75712-5500

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (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 det…

16 other providers at this address

Other clinical medical laboratory providers in Tyler

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NPI record

NPI: 1679798714
Entity type: Organization (Type 2)
Issued: Apr 16, 2007
Last updated: Jun 30, 2009
Status: Active
Subpart: Yes of Trinity Clnic

Other names

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Trinity Clinic Reference Laboratory · doing business as

Authorized official

Mary Ann Harrison, CPC CMC
Provider Enrollment Coordinator
(903) 510-1113

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679798714

Trinity Clinic's National Provider Identifier is 1679798714, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Tyler, TX. The record was last updated on Jun 30, 2009.