Provider Demographics
NPI:1295331221
Name:ARBOR DIAGNOSTICS INC
Entity type:Organization
Organization Name:ARBOR DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-871-8616
Mailing Address - Street 1:1801 ROYAL LN STE 805
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-7521
Mailing Address - Country:US
Mailing Address - Phone:469-886-4700
Mailing Address - Fax:214-871-8609
Practice Address - Street 1:1801 ROYAL LN STE 805
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-7521
Practice Address - Country:US
Practice Address - Phone:469-886-4700
Practice Address - Fax:214-871-8609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-06
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory