OrganizationActive
Forensic 360 Laboratory
NPI 1093363228 · Forensic Pathology Physician · Desoto, TX
Provider details
- NPI number
- 1093363228
- Entity type
- Organization
- Primary specialty
- Forensic Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cindy Johnson, Program Administrator(469) 222-1200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1801 N Hampton Rd Ste 270
Desoto, TX 75115-2399
Phone: (463) 222-1200
Approximate (ZIP-level) locationGet directions
Mailing address
1801 N Hampton Rd Ste 270
Desoto, TX 75115-2399
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.