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Organization
BNB DIAGNOSTICS, LLC
Active
Organization
BNB DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNEN LARK (OFFICER)
(504) 494-3543
Entity
Organization
Contact information
Practice address
350 NURSERY RD STE 3102, SPRING, TX 77380-4079
(346) 351-1203
Mailing address
350 NURSERY RD STE 3102, SPRING, TX 77380-4079
(346) 351-1203
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
09/08/2020
Last updated
11/15/2021
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