| NPI | 1023642220 |
|---|---|
| Doing Business As | CCRM DALLAS FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | JON PARDEW CEO 303-968-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |