Provider Demographics
NPI:1043509615
Name:M5 RAPID TESTING LABORATORY
Entity Type:Organization
Organization Name:M5 RAPID TESTING LABORATORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-293-9676
Mailing Address - Street 1:9220 SKILLMAN ST STE 213
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7395
Mailing Address - Country:US
Mailing Address - Phone:214-293-9676
Mailing Address - Fax:
Practice Address - Street 1:9220 SKILLMAN ST STE 213
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7395
Practice Address - Country:US
Practice Address - Phone:214-293-9676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M5 GROUP OF COMPANIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2021091291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory