Trinity Clinic Reference Laboratory

LBN: Trinity Clinic
Trinity Clinic Reference Laboratory is an health care organization with primary practice located at 3200 Troup Hwy Ste 110, Tyler TX 75701-8359. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Trinity Clinic can be contacted via phone (903) 510-1125, or through Harrison, Mary Ann via phone (903) 510-1113.

Contact Information

Primary practice address
3200 Troup Hwy Ste 110 Tyler TX 75701-8359
Fax:
Website:
Authorized official contact:
Name: Harrison, Mary Ann CPC CMC

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1679798714
LBN Legal business name Trinity Clinic
DBA Doing business as Trinity Clinic Reference Laboratory
Authorized official Harrison, Mary Ann CPC CMC
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jun 30th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679798714 NPPES
Texas Other H0CL831301 BCBS OF TEXAS
Texas MEDICAID 025522601 BCBS OF TEXAS

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