Provider Demographics
NPI:1932873205
Name:CAMBRANT LLC
Entity Type:Organization
Organization Name:CAMBRANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/LAB OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAMIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MLS (ASCP-M)
Authorized Official - Phone:214-586-4139
Mailing Address - Street 1:904 SPRING FALLS DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3560
Mailing Address - Country:US
Mailing Address - Phone:214-586-4139
Mailing Address - Fax:
Practice Address - Street 1:6100 K AVE STE 108
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-2538
Practice Address - Country:US
Practice Address - Phone:469-915-5666
Practice Address - Fax:469-915-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory