Provider Demographics
NPI:1043589161
Name:CARIS MPI, INC.
Entity Type:Organization
Organization Name:CARIS MPI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEFT LEGAL OFFICER/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:WINSTON
Authorized Official - Middle Name:KC
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-596-2282
Mailing Address - Street 1:6655 N MACARTHUR BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2443
Mailing Address - Country:US
Mailing Address - Phone:214-716-4020
Mailing Address - Fax:214-716-4125
Practice Address - Street 1:6655 N MACARTHUR BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2443
Practice Address - Country:US
Practice Address - Phone:214-716-4020
Practice Address - Fax:214-716-4125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIS MOLECULAR DIAGNOSTIC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory