Provider Demographics
NPI:1851966105
Name:DELTA LABORATORIES LLC
Entity Type:Organization
Organization Name:DELTA LABORATORIES LLC
Other - Org Name:MDXHEALTH CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:KALFUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-812-6979
Mailing Address - Street 1:7000 PRESTON RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2815
Mailing Address - Country:US
Mailing Address - Phone:866-259-5644
Mailing Address - Fax:
Practice Address - Street 1:7000 PRESTON RD STE 1500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2815
Practice Address - Country:US
Practice Address - Phone:866-259-5644
Practice Address - Fax:949-788-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty