Provider Demographics
NPI:1609477843
Name:CALLIS INVESTMENTS LLC
Entity Type:Organization
Organization Name:CALLIS INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-380-2988
Mailing Address - Street 1:4234 I-35 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207
Mailing Address - Country:US
Mailing Address - Phone:940-380-2988
Mailing Address - Fax:
Practice Address - Street 1:4234 I-35 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207
Practice Address - Country:US
Practice Address - Phone:940-380-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory